摘要
目的:探讨急性期针灸治疗是否对Bell s面瘫预后产生不良影响以及最佳针灸治疗方案。方法:采用临床随机对照(RCT)的研究设计方案,将患者分为早期针灸组(A组)、早期针刺配合远红外线组(B组)与7天后针灸组(C组),分别观察3组患者治疗前、发病7天及治疗后面神经功能分级,6个月随访临床治愈率、平均治愈时间及完全性面瘫的治愈时间。结果:3组在发病7天时面神经功能分级、6个月的临床治愈率、平均治愈时间无明显差别,但A组及B组在完全性面瘫患者的治愈时间上较C组达到痊愈时间短(P<0·05)。结论:建议在面瘫急性期可以采用患侧面部针灸治疗,远红外线照射治疗可替代传统灸疗。
Objective To investigate the adverse effects of acupuncture on the prognosis, and effectiveness of acupuncture combined with far infrared ray in the patient of acute Bell＇s facial paralysis within 48 h. Methods Clinically randomized controlled trial was used, and the patients were divided into 3 groups, group A（early acupuncture group）, group B （acupuncture combined with far infrared ray） and group C （acupuncture after 7 days）. The facial nerve functional classification at the attack, 7 days after the attack and after treatment, the clinically cured rate of following-up of 6 months, and the average cured time, the cured time of complete facial paralysis were observed in the 3 groups. Results There were no significant differences among the 3 groups in the facial nerve functional classification 7 days after the attack, the clinically cured rate of followlng-up of 6 months and the average cured time （P〉0.05）, but the cured time of complete facial paralysis in the group A and the group B were shorter than that in the group C （P〈0.05）, Conclusion The patient of acute Bell＇s facial paralysis can be treated with acupuncture and moxibustion, and traditional moxibustion can be replaced by far infrared way.
出处
《中国针灸》
CAS
CSCD
北大核心
2006年第3期157-160,共4页
Chinese Acupuncture & Moxibustion
基金
四川省科技厅基金项目:01SG045-13
