针刺治疗急性期周围性面瘫的疗效及面神经F波观察

摘要

目的：观察针刺治疗急性期周围性面瘫的临床疗效及面神经 F 波的变化。方法：将148例急性期周围性面瘫患者根据就诊先后顺序随机分为观察组和对照组,每组74例。两组患者均接受口服强的松片和阿昔洛韦片治疗,观察组在此基础上接受透刺法针刺治疗,对照组接受常规针刺治疗。每日1次,6次为1个疗程,治疗2个疗程后进行疗效评价,并在治疗前后进行肌电图F波检测。结果：治疗2个疗程后,治疗组治愈率为47.3%,总有效率为94.6%,对照组治愈率为20.3%,总有效率为82.4%,两组治愈率及总有效率差异均具有统计学意义(P＜0.01)。治疗前,两组患者患侧面神经F波潜伏期延长,出现频率减少。治疗后,两组患者F波潜伏期及出现率均较本组治疗前明显好转(P＜0.05),且观察组改善情况优于对照组(P＜0.05）。结论：在口服常规西药基础上,透刺法针刺治疗急性期周围性面瘫疗效确切,可有效改善面神经功能,其疗效优于常规针刺治疗。%Objective:To observe the clinical effect of acupuncture on peripheral facial paralysis in acute period and changes in facial nerve F-wave. Methods:A total of 148 eligible cases were randomly allocated into an observation group (n=74) and a control group (n=74) by their visiting sequence. In addition to oral Prednisone and Aciclovir tablets, patients in the observation group received point-towards-point acupuncture therapy, whereas patients in the control group received routine acupuncture therapy. The treatment was done once a day and 6 times made up a course of treatment. The efficacy evaluation was made after 2 courses. The electromyography (EMG) F-wave was monitored before and after treatment. Results:After 2 courses of treatment, the recovery rate and total effective rate were 47.3% and 94.6% respectively in the observation group, versus 20.3% and 82.4% in the control group, showing statistical differences (P<0.01). Before treatment, the facial nerve F-wave latency on the affected side was prolonged and its frequency of occurrence was decreased in both groups. After treatment, the F-wave latency and frequency of occurrence were significantly improved in both groups (P<0.05) and there were significant between-group differences (P<0.05). Conclusion:In addition to Western medication, point-towards-point acupuncture therapy can obtain more accurate and better effect than routine acupuncture therapy for acute peripheral facial paralysis.