针刺治疗顽固性周围性面瘫眼睑闭合不全的疗效观察

目的探讨针刺申脉穴、照海穴结合面部腧穴治疗顽固性周围性面瘫眼睑闭合不全的临床疗效。 方法将64例顽固性周围性面瘫眼睑闭合不全患者，按首诊先后顺序随机分为治疗组和对照组各32例。对照组行常规面部取穴针刺治疗，治疗组在常规治疗的基础上加针刺患侧申脉与照海穴，每10日为1个疗程，针刺5 d后休息2 d。治疗3个疗程后，采用卡方检验比较2组患者眼裂闭合不全的疗效。 结果治疗3个疗程后，治疗组治愈29例，显效2例，有效1例，无效0例，总有效率100.0%(32/32)；对照组治愈19例，显效4例，有效5例，无效4例，总有效率87.5%(28/32)。治疗组总有效率高于对照组，且差异具有统计学意义(χ²＝2.4，P<0.05)。治疗组愈显率明显优于对照组，且差异具有统计学意义(χ²＝5.8，P<0.05)。 结论针刺申脉穴、照海穴结合面部腧穴治疗顽固性周围性面瘫的眼睑闭合不全疗效显著，值得临床推广应用。

The curative effects of acupuncture in the treatment of refractory hypophasis in peripheral facial paralysis

ObjectiveTo investigate the clinical effects of needling points BL62 (Shenmai) and KI6(Zhaohai) combined with facial acupoints on the treatment of refractory hypophasis in peripheral facial paralysis. MethodsSixty-four patients with refractory hypophasis in peripheral facial paralysis were randomly divided into the observation group (n=32) and the control group (n=32) according to the initial diagnosis sequence. The control group was given conventional acupuncture treatment on the face. The observation group was treated by needling point BL62(Shenmai) and point KI6 (Zhaohai) in the affected side on the basis of conventional treatment. Treating 1 time for 1 day, 10 times for 1 course of the treatment. Acupuncture for 5 days, then rest for 2 days. After 3 courses, the chi-square test was used to compare the efficacy of the two groups of patients with cleft closure insufficiency. ResultsAfter 3 courses of treatment, in the observation group, 29 cases were cured, in which 2 cases showed obvious effect, 1 case was effective, 0 cases were ineffective, and the total effective rate was 100.0% (32/32); in the control group, 19 cases were cured, in which 4 cases were effective, 5 cases were effective, while 4 cases were ineffective, and the total effective rate was 87.5% (28/32). The total effective rate of the observation group was higher than the control group, and the difference was statistically significant (χ²=2.4, P<0.05). The markedly effective rate of the observation group was obviously better than the control group, and the difference was statistically significant (χ²= 5.8, P<0.05). ConclusionsAcupuncture at point BL62(Shenmai) and point KI6(Zhaohai) combined with facial acupoints is effective in the treatment of hypophasis in peripheral facial paralysis. It is worthy of clinical application.