CAJ | 학술논문

目的：研究针灸治疗面神经炎急性期的疗效及针灸与面肌痉挛的关系。方法：624例面神经炎急性期患者随机分为西药组和针灸组，两组各312例。西药组予西药常规治疗，针灸组予针灸治疗，均治疗4周。治疗前后观测患者临床症状和体征及评定House－Brac Kman分级。治疗结束后2年内每2月电话随访1次，询问是否发生面肌痉挛。结果：针灸组愈显率74．8％高于西药组的51．8％（ P ＜0．01）。针灸组2年内发生面肌痉挛6例，西药组发生面肌痉挛5例，两组比较无显著性差异（ P ＞0．05）。结论：急性期针灸介入治疗面神经炎可明显提高疗效，且不会导致面肌痉挛发生。
목적：연구침구치료면신경염급성기적료효급침구여면기경련적관계。방법：624례면신경염급성기환자수궤분위서약조화침구조，량조각312례。서약조여서약상규치료，침구조여침구치료，균치료4주。치료전후관측환자림상증상화체정급평정House－Brac Kman분급。치료결속후2년내매2월전화수방1차，순문시부발생면기경련。결과：침구조유현솔74．8％고우서약조적51．8％（ P ＜0．01）。침구조2년내발생면기경련6례，서약조발생면기경련5례，량조비교무현저성차이（ P ＞0．05）。결론：급성기침구개입치료면신경염가명현제고료효，차불회도치면기경련발생。
Objective:To study the curative effect of acupuncture and moxibustion on facial paralysis at acute period and the relationship between acupuncture and prosopospasm.Methods:624 cases of facial paralysis with acute stage were randomly divided into a western medicine group and an acupuncture group,with 312 cases in each group.The western medicine group was with conventional western medical treatment,and the acupuncture group was treated by acupuncture,continuously for 4 weeks.The clinical symptoms and signs of the patients were observed before and after the treatment and evaluate the House-Brac Kman grading.After the treatment, all the patients received follow-up bimonthly for the prosopospasm issues in two years.Results:The effective rate of acupuncture group(74.8%) was obviously higher than that of 51.8% in the western medicine group(P<0.01 ) .It was 6 cases with prosopospasm in acupuncture group while it was 5 cases in western medicine group within 2 years.but there were no differences between two groups (P>0.05).Conclusion:In acute period for facial paralysis,using the acupuncture as the treatment can obviously improve the therapeutic efficacy,and it will not lead to prosopospasm.