针灸综合疗法治疗急性周围性面瘫

Therapy of Acupuncture and Moxibustion Treating Acute Peripheral Facial Paralysis

目的:研究以针灸为主的综合治疗法对周围性面瘫急性期的治疗效果。方法:选取符合纳入标准的周围性面瘫急性期患者171例,随机分为对照组和观察组。对照组患者给予常规西医治疗,观察组患者在接受常规治疗的基础上给予针灸联合艾灸的综合疗法。比较两组患者治疗前后的面神经评定系统量表(Sunnybrook分级)和面部残障指数(FDI)情况,以及两组患者的治疗效果。结果:两组患者治疗前的Sunnybrook分级和面部残障指数比较无显著性差异(P>0.05)。治疗后,两组患者的面部残障指数均较治疗前明显降低(P<0.05),且观察组优于对照组(P<0.05)。观察组患者的治疗总有效率(90.24%,74/82)显著高于对照组(68.54%,61/89)(P<0.05)。结论:在常规药物治疗的基础上,给予周围性面瘫急性期患者以针灸为主的综合治疗,能够有效提高患者的康复速度和治疗有效率,值得进一步推广。

Objective： To study the clinical efficacy of applying acupuncture - based combined therapy in acuteperiod of peripheral facial paralysis. Methods： A total of 171 patients who had peripheral facial paralysisduring the acute period were randomly divided into the control group and the observation group. The controlgroup was given regular western medicine treatment, on which basis, the observation group was also treated with acupuncture and moxibustion. Sunnybrook classification and facial disability index（FDI） were applied tomeasure the therapeutic effect. Results： There were no significant differences between the two groups in termsof Sunnybrook classification and FDI before the treatment（P 〉 0. 05）. After the treatment, FDI was obviouslydecreased in both two groups（P 〈 0. 05）. The total effective rate was significantly higher in the observation（90. 24%,74 / 82） group than that in the control group（68. 54%,61 / 89） （P 〈 0. 05）. Conclusion： Besidesregular medicine therapy, acupuncture - based combined therapy can effectively accelerate the healing and increase the effective ratio of the acute period of peripheral facial paralysis, which is worthy of promotion in clinic.