目的：观察针刺配合热砭锥疗法治疗恢复期周围性面瘫的临床疗效。方法：将60例恢复期周围性面瘫患者按就诊顺序随机分为治疗组和对照组，每组各30例。对照组采用常规针刺治疗，治疗组在常规针刺基础上，加用热砭锥手法治疗，10天1个疗程，共观察2个疗程。使用House-Brackmann量表及日本神经研究会提议的“40分法”对患者治疗前后面神经麻痹程度进行判定评分。结果：2个疗程后，对照组愈显率为86．7％，治疗组愈显率为93．3％，两者差异无统计学意义（P＞0．05）。两组患者“40分法”的各项评分均较治疗前增高（ P＜0．05）；第1疗程结束后，治疗组在吹哨、蹙额、示齿、口呈一字等4个项目分值差高于对照组（P＜0．05），余各项目差异无统计学意义（P＞0．05）。结论：与常规针刺治疗比较，针刺配合热砭锥疗法对恢复期周围性面瘫的症状治愈率更高，对临床症状特别是吹哨、蹙额、示齿、口呈一字等，改善更为明显。%Objective:To observe the clinical effect on curing peripheral facial paralysis in convalescence with thermal-Bian-cone combined with acupuncture therapy .Methods:60 patients with peripheral facial paralysis in convalescence were randomly divided into treatment group ( n=30 , thermal-Bian-cone combined with ac-upuncture group ) and control group ( n=30 , acupuncture group ) .Observation period was two treatment cour-ses (20 days) in each group.Observations included curative effect and the main symptoms before and after treatment , by using the House-Brackmann scale and the “40-point method”.Results:The obvious effective rate of the treatment group (93.3%) had no significant difference in the data of the control group (86.6%) af-ter the treatment ( P>0 .05 ) .All scores of“40-point method” of two groups were all improved compared with that before treatment ( P<0 .05 ) .Except for the scores of whistling , forehead lifting , grinning and zipping mouth were higher than those in the control group ( P<0 .05 ) , and other scores of “40-point method” had no statistical significance ( P>0 .05 ) .Conclusion:Both of thermal-Bian-cone therapy combined with acupunc-ture and acupuncture can treat the peripheral facial paralysis in convalescence , however , the obviously effective rate of the former was higher than the latter ,especially in some clinical symptoms like whistling , forehead lift-ing, grinning and zipping mouth .
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