CAJ | 학술논문

目的：观察针药结合治疗急性期周围性面瘫的临床疗效及肌电图的变化。方法：将120例急性期周围性面瘫患者随机分为两组，药物组采用口服强的松片和阿昔洛韦片，针药组在药物治疗的基础上配合针刺治疗，治疗10次后，进行临床疗效评价，并在治疗前后行肌电图检查。结果：针药组治愈率53.33％，总有效率为96．67％，药物组治愈率为20％，总有效率为81．67％，针药组的治愈率及总有效率优于药物组（P＜0．01）；肌电图检查示患侧面神经潜伏期延长和（或）波幅降低，两组经治疗后较前均有明显好转（P＜0．05），但针药组对面神经功能改善优于药物组（P＜0．05）。结论：针药结合治疗急性期周围性面瘫疗效确切，可以有效改善面神经功能，为针灸早期治疗周围性面瘫提供依据。
목적：관찰침약결합치료급성기주위성면탄적림상료효급기전도적변화。방법：장120례급성기주위성면탄환자수궤분위량조，약물조채용구복강적송편화아석락위편，침약조재약물치료적기출상배합침자치료，치료10차후，진행림상료효평개，병재치료전후행기전도검사。결과：침약조치유솔53.33％，총유효솔위96．67％，약물조치유솔위20％，총유효솔위81．67％，침약조적치유솔급총유효솔우우약물조（P＜0．01）；기전도검사시환측면신경잠복기연장화（혹）파폭강저，량조경치료후교전균유명현호전（P＜0．05），단침약조대면신경공능개선우우약물조（P＜0．05）。결론：침약결합치료급성기주위성면탄료효학절，가이유효개선면신경공능，위침구조기치료주위성면탄제공의거。
Objective:To study the clinical effect of acupuncture with medicine on acute intractable facial pa-ralysis and electromyography changes .Methods:120 cases of acute intractable facial paralysis were divided into two groups.The medicine group was treated by prednisone and acyclovir tablets .The treatment group was trea-ted by acupuncture on the basis of medicine therapy .After treatment , the effect was compared between two groups and electromyography inspection between two groups was investigated and contrasted before and after treatments.Results:The recovery rate and total effective rate were 53.33% and 96.67% respectively in the treatment group , versus 20%and 81 .67%in the medicine group , and the differences between two groups were statistically significant(P<0.01).In two groups after treatments,the incubation period and(or) amplitude of facial nerve were markedly improved (P<0.05).The incubation period and(or) amplitude of facial nerve of the treatment group was significantly better than that of the drug group (P<0.05).Conclusion:Acupuncture with medicine is an effective way for treating acute intractable facial paralysis and can improve facial nerve func -tion, which may provide useful basis for clinical therapy at the early stage .