特殊针法治疗面神经麻痹临床研究

目的：探寻治疗周围性面瘫的特殊针刺治疗方法。方法：将93例面神经麻痹患者随机分为观察组（50例）和对照组（43例）。观察组选取面部瘫痪表情肌穴位，额肌（阳白、阳白旁开1寸）、眼轮匝肌、颧肌（颧髎、巨髎）、提上唇肌（上迎香、迎香）、口轮匝肌（夹水沟、夹承浆、地仓），浅刺针体穿行于肌层，每组穴位加电针断续波治疗。对照组以常规治疗方法选取穴位，加电针以疏密波治疗。比较两组的临床疗效、病程和House-Brackmann （ H-B ）分级及面神经功能评分情况。结果：观察组的总有效率为98．0％（49/50），优于对照组的90．7％（39/43），两组比较P＜0．05；痊愈患者在不同时间段的痊愈率上，观察组均明显优于对照组；两组治疗后的H-B面神经功能分级及面神经功能评分均较治疗前明显提高，观察组提高更明显。结论：特殊针刺疗法在治疗面神经麻痹上疗效明显优于常规针刺疗法，不仅大大的缩短了疗程，也减少了面瘫后遗症的出现。

Therapeutic Effect of Special Acupuncture in the Treatment of Facial Paralysis

Objective：To explore the therapeutic effect and prognosis of special acupuncture in the treatment of peripheral facial paralysis .Methods：93 patients with facial paralysis were randomly divided into an observation group （50 cases） and a control group （43 cases）.The patients in the observation group received the acupunc-ture treatment in acupoints related to paralysis of facial expression muscles , including frontal muscle （ Yangbai GB14 and the acupoints about 3 cm beside Yangbai ） , orbicularis oculi muscle , zygomatic muscle （ Quanliao SI18 and Juliao ST3）, levator labii superioris muscle （Shang Yingxiang EX -HN8 and Yingxiang LI20） and orbicularis oris muscle （Jia Shuigou, Jia Chengjiang, Dicang ST4）.The needles were inserted superficially and entered the muscular layer , and electroacupuncture was additionally performed in each acupoint for discontinu -ous wave therapy .The patients in the control group received the conventional acupuncture treatment in the com-monly-selected acupoints , with electrical currents being applied for disperse -dense wave treatment .The clin-ical therapeutic effect , pathogenesis and House -Brackmann （ H-B ） grade and facial nerve function score were compared between two groups .Results：The total effective rate of the observation group was 98.0%（49/50） and higher than that in the control group （90.7%,39/43） （P＆lt;0.05）.For well-cured patients, the av-erage effective time , significantly-effective time and well-curing time were all significant better than those in the control group.After treatment, the H-B facial nerve function grade and facial nerve function score of two groups were significantly improved as compared with those before treatment .Conclusion：The therapeutic effect of the special acupuncture treatment on facial paralysis is significantly superior to the conventional acupunctured treatment,and the course of treatment is greatly reduced , and the incidence of facial paralysis sequelae is re-duced .