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电针治疗不同分期周围性面瘫的临床观察

[Clinical observation on electroacupuncture for treatment of peripheral facial paralysis at different stages].

作者信息

Qu Qun-Wei, Xiong Tao

机构信息

The First Hospital of Danjiangkou City, Hubei 442700, China.

出版信息

Zhongguo Zhen Jiu. 2005 May;25(5):323-5.

Abstract

OBJECTIVE

To probe into the optimal opportunity of electroacupuncture for treatment of peripheral facial paralysis.

METHODS

One hundred and twenty cases were randomly divided into group A and B, 60 cases in each group. The group A were treated by electroacupuncture and ultrashort-wave from the acute stage and the group B were treated by ultrashort-wave at the acute stage and ultrashort-wave plus electroacupuncture at the resting stage.

RESULTS

The cured and markedly effective rate was 85.0% and the total effective rate was 98.3% in the group A, and 68.3% and 91.7% in the group B respectively (P < 0.05); there was no significant difference between the two groups in abnormal myoelectrogram before treatment and at the 8th day (P > 0.05); but at the 30th day the number of cases in whom BR wave turned to normal or mild abnormal in the group A were more than those in the group B (P < 0.05), and the shortening of the latent period of M wave and increase of the wave amplitude were significantly better than those in the group B (P < 0.05).

CONCLUSION

Electroacupuncture at acute stage can significantly increase the cured and markedly effective rate, and the acute stage is the optimal opportunity for acupuncture treatment of peripheral facial paralysis.

摘要

目的

探讨电针治疗周围性面瘫的最佳时机。

方法

将120例患者随机分为A、B两组,每组60例。A组从急性期开始采用电针加超短波治疗,B组急性期采用超短波治疗,静止期采用超短波加电针治疗。

结果

A组治愈率和显效率为85.0%,总有效率为98.3%;B组治愈率和显效率为68.3%,总有效率为91.7%(P<0.05);两组治疗前及治疗第8天肌电图异常情况比较差异无统计学意义(P>0.05);治疗第30天,A组中BR波转为正常或轻度异常的例数多于B组(P<0.05),M波潜伏期缩短及波幅增高情况明显优于B组(P<0.05)。

结论

急性期电针能显著提高治愈率和显效率,急性期是针刺治疗周围性面瘫的最佳时机。

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