半刺法治疗周围性面瘫急性期临床研究

Clinical Study on Half Needling for Peripheral Facial Paralysis at Acute Stage

目的:观察半刺法治疗周围性面瘫急性期的临床疗效。方法:将60例周围性面瘫急性期患者按随机数字表法分为A、B、C组,每组20例。A、B、C组急性期分别采用半刺、浅刺和西药治疗,急性期后均采用常规针刺,配合颧髎温针灸,针后患侧面部闪罐。对比3组临床疗效及治疗前后H-B评分。结果:治疗后,3组H-B评分均较治疗前下降,差异均有统计学意义(P<0.05);A组H-B评分低于B组和C组,差异均有统计学意义(P <0.05)。A组H-B评分治疗前后差值大于B组和C组,差异有统计学意义(P <0.05)。A组愈显率85.0%,高于C组的55.0%,差异有统计学意义(P <0.05)。A、B、C组总有效率比较,差异无统计学意义(P> 0.05)。结论:半刺法治疗周围性面瘫急性期能有效改善患者的临床症状,促进面神经恢复,与常规浅刺疗效相当,较急性期只采用西药治疗效果更优。

Objective:To observe the clinical effect of half needling for peripheral facial paralysis at acute stage.Methods:A total of 60 cases of patients with peripheral facial paralysis at acute stage were divided into Group A,Group B and Group C according to the random number table method,20 cases in each group.At acute stage,the three groups were treated with half needling,shallow needling and western medicine respectively;after acute stage,all groups were treated with routine acupuncture,needle-warming moxibustion at Quanliao(SI18)and flash cupping on the affected side of face after needling.The clinical effect and the scores of House-Brackmann(H-B)before and after treatment in the three groups were compared.Results:After treatment,the scores of H-B in the three groups were deceased when compared with those before treatment,differences being significant(P<0.05);the score of H-B in Group A was lower than that in Group B and Group C respectively,differences being significant(P<0.05).The difference in the scores of H-B before and after treatment in Group A was larger than that in Group B and Group C respectively,the difference being significant(P<0.05).The cured and markedly effective rate was 85.0%in Group A,higher than that of 55.0%in Group C,the difference being significant(P<0.05).Compared the total effective rates in the three groups,there was no significance in the difference(P>0.05).Conclusion:The application of half needling for peripheral facial paralysis at acute stage can effectively improve the clinical symptoms of patients and promote the recovery of facial nerve,whose therapeutic effect is the same as the routine shallow needling,and is superior to that of simple western medicine at acute stage.