针灸治疗面瘫临床常用治法与刺法的评价

目的　了解建国以来针灸治疗面瘫的临床研究现状及能否向临床实践提供有可靠依据的治法和刺法。方法　采用循证医学和临床流行病学评价文献质量的原则和方法对针灸治疗面瘫的临床研究文献进行全面检索和方法学质量评价。结果　在实际检出的 96 3篇文献中 ,随机对照试验 (RCT)的文献 83篇 ,目前 RCT提供了针灸治疗面瘫有效的可靠依据及针灸治疗面瘫常用的治法与刺法。结论　针灸治疗面瘫最常用的治疗方法是毫针、电针、灸法等 ,最常用的针刺方法是透刺法、浅刺法等 ,而且透刺法优于浅刺法。

Evaluation of Clinical Common Acupuncture-moxibustion Therapies and Techniques for Facial Paralysis

Purpose To review clinical researches on acupuncture moxibustion treatment of facial paralysis after 1949 and investigate if they can provide reliable therapies and needling techniques for the clinical practice.Method An all around search for clinical research literature about acupuncture moxibustion treatment of facial paralysis was made and the quality of its methodology was assessed by the principles and methods of evidence based medicine and clinical epidemiological evaluation of literature quality. Results There were 83 articles with randomized controlled trial(RCT) among actually found 963 ones. At present RCT provides effective and reliable evidence and commonly used therapies and needling techniques for acupuncture moxibustion treatment of facial paralysis.Conclusion The most commonly used acupuncture\|moxibustion therapies for facial paralysis are filiform\|needle acupuncture, electroacupuncture and moxibustion. The most commonly used needling techniques are point through point puncture and shallow puncture, and the former is superior to the latter.