针刺为主治疗周围性面瘫时效关系临床观察

目的：观察针刺治疗周围性面瘫（Bell′s麻痹）开始的时间与疗效的关系。方法：278例面神经炎所致Bell′s麻醉的病人，按开始针刺治疗的时间分为3组：发病2周内开始针刺治疗175例，2^ -4周开始针刺治疗97例，1^ -6个月开始针刺治疗45例。每组病人均根据病程分期治疗。结果：病程2周内开始针刺治疗痊愈率最高（77.2%)，明显优于其他两组（P＜0.01)，而且早期针刺治疗还可以减少激素的使用。结论：早期恰当的治疗是本病快速完全恢复的关键。

Clinical Observation on Time-Effect Relation of Acupuncture Treatment for Peripheral Facial Paralysis

Purpose To observe time-effect relation of acupuncture treatment for peripheral facial paralysis (Bell's paralysis). Methods 278 cases of Bell's paralysis caused by facial neuritis were treated with acupuncture and they were divided into 3 groups according to the time of starting acupuncture. 175 cases were treated with in 2 weeks after attack, 97 cases between 2 weeks-1 month and 45 cases between 1-6 months. All of them were treated with acupuncture according to course of disease. Results The cured rate of the patients with a course of less than 2 weeks was the highest (77.2%), which was significantly higher than those in other two groups (P<0.01), and also, acupuncture treatment at early stage could reduce application of hormones. Conclusion Early and appropriate treatment is a key for rapid and complete recovery of this disease.