不同波型电针治疗周围性面瘫的疗效比较与安全性评价(英文)

目的:评价电针3种不同波型(连续波、疏密波、断续波)对周围性面瘫的临床疗效。方法:将129例Bell面瘫患者随机分为连续波组(45例)、疏密波组(40例)、断续波组(44例),穴取地仓、颊车、阳白、太阳、下关、合谷等,分别行相应频率的电针治疗。于入组当天,治疗第1、2、3、4疗程后以及治疗结束后1个月、3个月随访中各进行House-Brackmann(HB)量表评定。结果:连续波组、疏密波组、断续波组的痊愈率分别为68.9%(31/45)、60.0%(24/40)、65.9%(29/44),经秩和检验,组间疗效差异无统计学意义(P>0.05)。结论:电针治疗周围性面瘫具有显著的临床疗效,各波型组间疗效比较未见显著差异,说明电针治疗本病的临床疗效与波型无显著的关联。

Comparison of efficacy and the safety evaluation of electroacupuncture with different waveforms for peripheral facial paralysis patients

Objective To use different waveforms of electroacupuncture （EA） to treat peripheral facial paralysis and assess the clinical efficacy of three kinds of EA waveforms （continuous wave, disperse-dense wave and intermittent wave）. Methods One hundred and twenty nine patients of Bell＇s palsy were randomly divided into a continuous wave group （45 cases）, a disperse-dense wave group （40 cases） and an intermittent wave group （44 cases）. The acupoints selected were Dicing （地仓 ST 4）, Jiache （颊车 ST 6）, Taiyang （太阳 EX-HN 5）, Xiaguan （下关 ST 7）, Hegu （合谷 LI 4）, etc. The House-Brackmann （HB） scale was used in assessment on the day of inclusion, after the 1st, 2nd, 3rd and 4th courses of treatment and the 1st and 3rd months after the end of treatment during the follow-up visit respectively. Results The cured rates were 68.9% （31/45）, 60.0% （24/40） and 65.9% （29/44） respectively in the continuous wave group, the disperse-dense wave group and the intermittent wave group. The results of the rank sum test showed that the efficacy comparison among three groups did not show statistically significant difference （P〉0.05）. Conclusion EA achieved the significant clinical efficacy on peripheral facial paralysis and there is no significant difference in the efficacy among different waveforms. It is suggested that the clinical efficacy of EA on the disease had no significant correlation with the waveforms.