电针治疗不同病期周围性面瘫的临床观察

目的:探讨电针治疗周围性面瘫的最佳时机.方法:将120例患者按就诊顺序随机分为A组和B组各60例.A组在急性期开始电针和超短波治疗,B组在急性期行超短波治疗,静止期再加用电针治疗.结果:A组痊愈显效率为85.0%,总有效率为98.3%,B组分别为68.3%和91.7%(x2=7.96,P＜0.05);肌电图检测显示,治疗前和发病第8天时异常肌电图的变化两组间比较差异无显著性意义(P＞0.05);第30天时BR波转为正常或轻度异常的例数A组明显多于B组(P＜0.05),M波潜伏期缩短和波幅回升A组也明显优于B组(P＜0.05).结论:急性期电针治疗可以明显提高痊愈显效率,是针刺治疗周围性面瘫的最佳时机.

Clinical observation on electroacupuncture for treatment of peripheral facial paralysis at different stages

Objective To probe into the optimal opportunity of electroacupuncture for treatment of peripheral facial paralysis. Methods One hundred and twenty cases were randomly divided into group A and B, 60 cases in each group. The group A were treated by electroacupuncture and ultrashort-wave from the acute stage and the group B were treated by ultrashort-wave at the acute stage and ultrashort-wave plus electroacupuncture at the resting stage. Results The cured and markedly effective rate was 85. 0% and the total effective rate was 98. 3% in the group A, and 68. 3% and 91. 7% in the group B respectively (P<0. 05) t there was no significant difference between the two groups in abnormal myoelectrogratn before treatment and at the 8th day (P>0. 05); but at the 30th day the number of cases in whom BR wave turned to normal or mild abnormal in the group A were more than those in the group B (P<0. 05), and the shortening of the latent period of M wave and increase of the wave amplitude were significantly better than those in the group B (P<0. 05). Conclusion Electroacupuncture at acute stage can significantly increase the cured and markedly effective rate, and the acute stage is the optimal opportunity for acupuncture treatment of peripheral facial paralysis.