面神经炎是临床常见病，电针对其疗效确切，临床运用广泛。但对电针的波形参数选择和急性期是否可以及如何使用电针等问题上尚无定论。作者经临床实践研究发现，结合面神经炎不同分期的病理特点，适时调整电针运用方案，从而使电针作用得到有效发挥，加快疾病痊愈。即急性期病情进展时不用电针或以疏密波抗炎镇痛；恢复期面肌麻痹时用断续波兴奋肌肉，面肌兴奋性恢复后转疏波兴奋运动神经元；后遗症期以疏波巩固治疗或密波缓解面肌痉挛。%Facial neuritis is clinically a common disease. Electroacupuncture has a positive effect on it and has been widely applied clinically, but how to select electroacupuncture waveform parameters, and whether and how to use electroacupuncture in the acute stage are still inconclusive. Through clinical practice and study, the authors found that the role of electroacupuncture was effectively played and the recover from the disease was quickened by combining the pathological characteristics of facial neuritis in different stages and adjusting the electroacupuncture protocol at a proper time. That is, during the acute stage when the disease is progressing, electroacupuncture is not used or used with sparse-dense waves for anti-inflammation and analgesia; during the convalescent stage, interrupted waves are used to excite the muscles and sparse waves are used to excite the motor neurons after the recovery of facial muscle excitability; during the sequela stage, sparse waves are used to maintain the therapeutic effect or dense waves to relieve facial spasm.
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