针刺透穴合电针二联治疗周围性面瘫临床观察

目的:探讨针刺透穴合电针治疗周围性面瘫的效果。方法:将70例患者随机分组,治疗组40例采用针刺透穴合电针治疗,对照组30例单用毫针刺治疗。结果:2组均在治疗3个疗程后统计:治疗组治愈28例,显效7例,好转4例,总有效率为97.50%。对照组治愈14例,显效9例,好转4例,总有效率为90.00%。两组治疗效果有显著性差异(P<0.05)。并且在同样治愈的病例中,组间差异非常显著(P<0.01),治疗组施治天数明显少于对照组。结论:针刺透穴合电针二联疗法治疗周围性面瘫有较好疗效。

针药结合和单一针刺疗法治疗周围性面瘫的疗效对比观察

＂面瘫＂即面神经麻痹,在中医学文献中称作＂口眼斜＂,也称＂口僻＂,是指以口眼向一侧歪斜为主症的病变。手足三阳经均上行头面,当病邪阻滞面部经络,尤其是手太阳和足阳明经脉受阻,可导致面瘫的发生。古人认为本病是由风邪所致,历代文献均将其归入风门,概称为＂中风＂。现代医学称之为贝尔（bell）氏麻痹与亨特（hunt）综合征[1]。

针刺配合中药离子导入治疗周围性面瘫临床观察

目的:探讨针刺配合中药离子导入治疗周围性面瘫的临床疗效。方法:治疗组运用针刺加中药离子导入治疗周围性面瘫57例,并与对照组单纯针刺治疗28例进行对比观察。结果:治疗组的痊愈率为89.5%,对照组为64.3%,治疗组疗效明显优于对照组(P<0.01)。结论:针刺配合中药离子导入治疗周围性面瘫起效快,疗效高。

针灸配合理疗治疗周围性面瘫55例

目的:研究针刺加理疗的综合物理治疗对周围性面瘫患者治疗的作用。方法:110例周围性面瘫患者随机分为2组,针刺加理疗组急性期给予针刺和超短波治疗,恢复期采用针刺、超短波及调制中频治疗。对照组则不采用针刺治疗,其他治疗相同。结果:针刺加理疗组明显优于对照组。结论:针刺加理疗的综合物理治疗更有利于面神经运动功能恢复。

电针、闪罐联合加味牵正散治疗周围性面瘫38例

目的:观察电针、闪罐联合加味牵正散治疗周围性面瘫的临床疗效。方法:将76例周围性面瘫患者采用随机数字表法随机分为治疗组和对照组。两组均避免吹风,可戴口罩、眼罩,避免感染,禁食辛辣刺激食物,不熬夜,清淡饮食,每日可用温热毛巾敷面部15~20min。对照组38例给予注射用头孢哌酮舒巴坦钠4g加入90g/L氯化钠注射液250mL中,静脉滴注,1次/d;乙酰谷酰胺注射液500mg加入500g/L葡萄糖注射液250mL中,静脉滴注,1次/d;地塞米松注射液10mg加入500g/L葡萄糖注射液250mL中,静脉滴注,1次/d;甲巯咪唑片,20mg/次,3次/d,口服;维生素B1片,200mg/次,3次/d,口服;甲钴胺片,500mg/次,3次/d,口服。治疗组38例给予电针、闪罐联合加味牵正散(全蝎、蜈蚣、白附子、僵蚕、黄芪、防风、荆芥、鸡血藤、赤芍、川芎),1d1剂,水煎,早晚各1次,温服。两组均以10~15d为1个疗程,共治疗2个疗程。结果:治疗组治愈15例,好转14例,有效7例,无效2例,有效率为94.73%;对照组治愈7例,好转14例,有效9例,无效8例,有效率为78.94%。两组对比,差别有统计意义(P<0.05)。结论:电针、闪罐联合加味牵正散治疗周围性面瘫有较好疗效。

80 CASES OF PERIPHERAL FACIAL PARALYSIS TREATED BY ACUPUNCTURE WITH VIBRATING SHALLOW INSERTION

Eighty cases of peripheral facial paralysis were treated by acupuncture with vibrating shallow insertion. The total effective rate was 98.75% and cure rate 88.75%. There was no significant difference in therapeutic effect as compared with the conventional electroacupuncture method (P > 0.5), suggesting that shallow puncture by vibratings can also yield satisfactory therapeutic results.

Treatment of peripheral facial paralysis with acupuncture at Rényíng (人迎 ST 9) combined with stellate ganglion block:a randomized controlled trial

Objective To explore the best therapeutic method in the treatment of peripheral facial paralysis. Methods One hundred and twenty cases were randomized into a conventional acupuncture group [Yangbai （阳白 GB 24）, Sibai （四白 ST 2）, Yingxiang （迎香 LI 20）, etc.], a Renying （人迎ST 9） acupuncture group and an operation ＋ acupuncture group [acupuncture at ST 9 as the main acupoint and the stellate ganglion block （SGB）], 40 cases in each one. The treatment was given once a day, 7 treatments made one session. After 3 sessions of treatment, the latency and the amplitude of the direct stimulation evoked potential of the facial nerve （ENoG） were compared before and after treatment in three groups, as well as R2 and R2 values of blink reflex （BR）. The total clinical efficacy was assessed. Results The latency of ENoG was shortened and the amplitude was increased significantly in three groups. After treatment, ENoG latency was lower significantly in the operation ＋ acupuncture group as compared with that in the conventional acupuncture group （P〈0.05）. In the Renying （人迎 ST 9） acupuncture group, the amplitude of ENoG was increased as compared with P〈0.05）. After treatment in three groups, those in the other two groups （all R2 and R2 values were decreased significantly. The differences in R1 and R2 values in the Renying （人迎 ST 9） acupuncture group and the operation ＋ acupuncture group before and after treatment were bigger than those in the conventional acupuncture group （all P〈0.05）, and the difference in R2 value in the operation ＋ acupuncture group was bigger than that in the Renying （人迎 ST 9） acupuncture group （P〈O.05）. The clinical markedly effective and curative rate was 87.5% （35/40） in the operation ＋ acupuncture group, which was superior to 77.5% （32/40） in the Renying （）人迎 ST 9）acupuncture group and higher significantly than 65.0% （26/40） in the conventional acupuncture group （P〈0.05）. Conclusion Compared with the conventional acupuncture, the efficacy on peripheral facial paralysis is much better in the Renying （人迎 ST 9） acupuncture group and the operation ＋ acupuncture group. Moreover, the early reflex function of the damaged facial nerve is much better recovered in the operation ＋ acupuncture group as compared with that in the Renying （人迎 ST 9） acupuncture group.

Comparison on the therapeutic effect of acupuncture on 60 cases of peripheral facial paralysis at different stages

Objective To investigate the difference in the therapeutic effect of different methods in the treatment of peripheral facial paralysis （PFP） at different stages. Methods Sixty cases of PFP at different stages were divided into a treatment group and a control group according to the sequence for visit, and 30 patients were included in each group. The patients in the treatment group were treated by using drugs, acupuncture （shallow puncture and subexcite） and microwave therapy during the acute stage, and they were subjected to electroacupuncture （EA） （heavy stimulation and penetration needling）, acupoint injection, electrotherapy and massage during the convalescence stage. In contrast, the patients in the control group were treated simply with drugs, and the therapeutic methods during the convalescence stage were the same to those for the treatment group, and the therapeutic effect of the two groups was observed after three treatment courses. Results The total effective rate in the treatment group was 100.0% （30/30）, the cured rate after one treatment course was 48.2% （13/27）, the cured rate after two treatment courses was 44.4% （12/27）, and the cured rate after three treatment courses was 7.4% （2/27）. The total effective rate in the control group was 90.0% （27/30）, the cured rate after one treatment course was 5.5% （1/18）, the cured rate after two treatment courses was 27.8% （5/18）, and the cured rate after three treatment courses was 66.7% （12/18）. The therapeutic effect and the treatment courses for healing of the treatment group were significantly better than those in the control group （P0.05）. Conclusion the therapeutic effect of different therapeutic methods on PFP is remarkable.

Acupuncture for facial nucleus paralysis

Case of acupuncture for facial nucleus paralysis was reported. Compared with peripheral facial paralysis, facial nucleus paralysis is more complex with a high-level and high-degree injury, leading to a low cured rate in clinic. This case was cured successfully, which might be related to less bleeding amount from patients＇ lesion and more complete absorption of blood stasis, as well as accuracy of clinical syndrome differentiation, positioning and appropriateness of treatment method and acupoint selection of acupuncture in the mid to late stage.