针灸推拿医学（英文版）
針灸推拿醫學（英文版）
침구추나의학（영문판）
Journal of Acupuncture and Tuina Science
2015年
6期
344-348
,共5页
针刺疗法%透针%针药并用%面神经麻痹%肌电描记术
針刺療法%透針%針藥併用%麵神經痳痺%肌電描記術
침자요법%투침%침약병용%면신경마비%기전묘기술
Acupuncture Therapy%Point-towards-point Needling%Acupuncture Medication Combined%Facial Paralysis%Electromyography
目的：观察针刺治疗急性期周围性面瘫的临床疗效及面神经 F 波的变化。方法：将148例急性期周围性面瘫患者根据就诊先后顺序随机分为观察组和对照组,每组74例。两组患者均接受口服强的松片和阿昔洛韦片治疗,观察组在此基础上接受透刺法针刺治疗,对照组接受常规针刺治疗。每日1次,6次为1个疗程,治疗2个疗程后进行疗效评价,并在治疗前后进行肌电图F波检测。结果：治疗2个疗程后,治疗组治愈率为47.3%,总有效率为94.6%,对照组治愈率为20.3%,总有效率为82.4%,两组治愈率及总有效率差异均具有统计学意义(P＜0.01)。治疗前,两组患者患侧面神经F波潜伏期延长,出现频率减少。治疗后,两组患者F波潜伏期及出现率均较本组治疗前明显好转(P＜0.05),且观察组改善情况优于对照组(P＜0.05）。结论：在口服常规西药基础上,透刺法针刺治疗急性期周围性面瘫疗效确切,可有效改善面神经功能,其疗效优于常规针刺治疗。
目的：觀察針刺治療急性期週圍性麵癱的臨床療效及麵神經 F 波的變化。方法：將148例急性期週圍性麵癱患者根據就診先後順序隨機分為觀察組和對照組,每組74例。兩組患者均接受口服彊的鬆片和阿昔洛韋片治療,觀察組在此基礎上接受透刺法針刺治療,對照組接受常規針刺治療。每日1次,6次為1箇療程,治療2箇療程後進行療效評價,併在治療前後進行肌電圖F波檢測。結果：治療2箇療程後,治療組治愈率為47.3%,總有效率為94.6%,對照組治愈率為20.3%,總有效率為82.4%,兩組治愈率及總有效率差異均具有統計學意義(P＜0.01)。治療前,兩組患者患側麵神經F波潛伏期延長,齣現頻率減少。治療後,兩組患者F波潛伏期及齣現率均較本組治療前明顯好轉(P＜0.05),且觀察組改善情況優于對照組(P＜0.05）。結論：在口服常規西藥基礎上,透刺法針刺治療急性期週圍性麵癱療效確切,可有效改善麵神經功能,其療效優于常規針刺治療。
목적：관찰침자치료급성기주위성면탄적림상료효급면신경 F 파적변화。방법：장148례급성기주위성면탄환자근거취진선후순서수궤분위관찰조화대조조,매조74례。량조환자균접수구복강적송편화아석락위편치료,관찰조재차기출상접수투자법침자치료,대조조접수상규침자치료。매일1차,6차위1개료정,치료2개료정후진행료효평개,병재치료전후진행기전도F파검측。결과：치료2개료정후,치료조치유솔위47.3%,총유효솔위94.6%,대조조치유솔위20.3%,총유효솔위82.4%,량조치유솔급총유효솔차이균구유통계학의의(P＜0.01)。치료전,량조환자환측면신경F파잠복기연장,출현빈솔감소。치료후,량조환자F파잠복기급출현솔균교본조치료전명현호전(P＜0.05),차관찰조개선정황우우대조조(P＜0.05）。결론：재구복상규서약기출상,투자법침자치료급성기주위성면탄료효학절,가유효개선면신경공능,기료효우우상규침자치료。
Objective:To observe the clinical effect of acupuncture on peripheral facial paralysis in acute period and changes in facial nerve F-wave. <br> Methods:A total of 148 eligible cases were randomly allocated into an observation group (n=74) and a control group (n=74) by their visiting sequence. In addition to oral Prednisone and Aciclovir tablets, patients in the observation group received point-towards-point acupuncture therapy, whereas patients in the control group received routine acupuncture therapy. The treatment was done once a day and 6 times made up a course of treatment. The efficacy evaluation was made after 2 courses. The electromyography (EMG) F-wave was monitored before and after treatment. <br> Results:After 2 courses of treatment, the recovery rate and total effective rate were 47.3% and 94.6% respectively in the observation group, versus 20.3% and 82.4% in the control group, showing statistical differences (P<0.01). Before treatment, the facial nerve F-wave latency on the affected side was prolonged and its frequency of occurrence was decreased in both groups. After treatment, the F-wave latency and frequency of occurrence were significantly improved in both groups (P<0.05) and there were significant between-group differences (P<0.05). <br> Conclusion:In addition to Western medication, point-towards-point acupuncture therapy can obtain more accurate and better effect than routine acupuncture therapy for acute peripheral facial paralysis.
