电针结合透刺治疗BELL′s面瘫临床观察

Clinical Observation of Electro-acupuncture Treating BELL′s Paralysis

目的观察电针治疗BELL′s面神经炎的疗效。方法将84例BELL′s面神经炎患者随机分为治疗组、对照组各30例。两组均在西医治疗基础上,治疗组采用电针治疗,对照组采用常规取穴、针刺方法,两组疗程均为20 d。结果两组治疗后各项评分均较治疗前降低(P<0.05);治疗5 d后,两组改善症状体征评分相当(P>0.05),治疗10 d、20 d后,治疗组疗效优于对照组(P<0.05)。治疗后两组面神经肌电图潜伏期和波幅均较治疗前改善(P<0.05),治疗组改善情况优于对照组(P<0.05)。治疗组总有效率为95.23%,明显高于对照组的78.57%(P<0.05)。结论电针治疗急性期面神经炎疗效更优,具有缩短疗程的作用,且急性期运用电针不会增加面肌痉挛的出现率。

Objective: To evaluate the effect of electric acupuncture treatment of BELL′s facial paralysis. Methods: 84 patients with facial paralysis were randomly divided into two groups. Both groups were given conventional western medicine therapy. Treatment group were treated with electric acupuncture group,while the control group were given conventional acupuncture treatment.Two groups are in treatment of 20 d,for a period of treatment. Results: two groups after treatment in patients with symptoms and signs of quantitative table,facial nerve emg was improved,the comparison before and after the difference had statistical significance(P < 0.05),and compare the difference was statistically significant between the two groups after treatment,the curative group is better than that of non electric acupuncture group(P < 0.05). 2 set of facial spasms appear rate difference has no statistical significance(P > 0.05). Conclusion: The electric acupuncture treatment of acute facial paralysis of better curative effect have the function of the shorten period of treatment,which won′t increase the rate of the appearance of facial spasm.