针刺分段分期治疗周围性面瘫疗效观察

目的研究周围性面瘫不同神经损伤节段、不同分期及治疗方法之间的相关关系。方法将86例周围性面瘫患者按神经损伤节段不同分为A组14例，B组19例，C组20例和D组33例。A组为面神经Ⅰ段损伤，B组为面神经Ⅱ段损伤，C组为面神经Ⅲ段损伤，D组为面神经Ⅳ段损伤。四组均采用针刺方法进行分期治疗，治疗4个疗程后采用面神经功能评分标准，结合临床症状及体征进行疗效分析，6个月后回访患者后遗症发病情况。结果四组患者治疗后面神经功能评分与同组比较，差异均具有统计学意义（P〈0．05）。四组患者治疗后面神经功能评分组间比较，差异均具有统计学意义（P〈0．05）。C组和D组总有效率与A组和B组比较，差异均具有统计学意义（P〈0．05）。C组和D组后遗症发生率与A组比较，差异均具有统计学意义（P〈0．05）。结论针刺是一种治疗周围性面瘫的有效方法，且面神经损伤平面越低，疗效越好。

Observations on the Efficacy of Segment and Stage Acupuncture Treatment for Peripheral Facial Paralysis

Objective To investigate the correlation between different injured neural segments and different stage acupuncture treatments in peripheral facial paralysis.Methods Eight-six patients with peripheral facial paralysis were allocated to group A of 14 cases,group B of 19 cases,group C of 20 cases and group D of 33 cases according to different injured neural segments.Group A had a facial nerve segment Ⅰ injury;group B,a facial nerve segment Ⅱ injury;group C,a facial nerve segment Ⅲ injury;group D,a facial nerve segment Ⅳ injury.All the 4 groups received stage acupuncture treatment.The therapeutic effect was assessed using the criteria for scoring facial nerve function in combination with the clinical symptoms and signs.The sequelae were examined in the patients at the 6-month follow-up.Results There was a statistically significant pre-/post-treatment difference in the facial nerve function score in all the 4 groups of patients(P<0.05).There was a statistically significant post-treatment difference in the facial nerve function score between the 4 groups of patients(P<0.05).There was a statistically significant difference in the total efficacy rate between group C and D and group A and B(P<0.05).There was a statistically significant difference in the incidence of sequelae between group C and D and group A(P<0.05).Conclusions Acupuncture is an effective way to treat peripheral facial paralysis.The lower the impaired facial nerve section,the better the therapeutic effect.