针刺治疗周围性面瘫1035例疗效分析

Analysis of Therapeutical Effect of 1035 Cases of Peripheral Facial Paralysis Treated with Acupuncture

面瘫是临床常见病之一,中医认为本病多因外感风邪,侵犯面部经脉,使气血运行受阻所致。治疗面瘫的方法颇多,如何提高治愈率减少后遗症较为重要。我科从1976年至1990年,以经络学说为主,参考神经生理,采用少针、浅刺、沿神经走行方向进针方法,治疗周围性面瘫1035例,取得满意效果,现报道如下。

The authors theated 1035 cases of peripheralfacial paralysis.In the acute stage Xiaguan(St 7),Jiache(St 6),Yifeng(TB 17),Tongziliao(GB 1)and Yingxiang(LI 20)were prescribed and needledhorizontally or obliquely.No lifting-thrusting androlating methods or joint needling were performed.Proper medication was necessary in accordance withthe symptoms.In the restoration stage,points wereselected according to the symptoms but needles wereconnected with electric acupuncture apparatus.Thetreatment was once daily and needles were retainedfor 20 minutes each time.In the residual stagepoints were prescribed on the basis of the residingsymptoms and electric stimulation was also providedbut even longer and more intense.926 cases werecured(89.47%),71 were markedly effective(6.89%),and 38 were improved(3.67%).In lightof the observation,the effect is closely related withthe time of treatment i.e.the earlier,the better;it is no relation with the age,but has certain rela-tions with the location and severity of the lesion.