Wu Bin, Li Ning, Liu Yi, Huang Chang-qiong, Zhang Yong-ling
West China Hospital, University of Sichuan, Chengdu 610041, China.
Zhongguo Zhen Jiu. 2006 Mar;26(3):157-60.
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.
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.
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 following-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).
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.
探讨针刺对急性贝尔面瘫患者48小时内预后的不良影响,以及针刺联合远红外线治疗的有效性。
采用临床随机对照试验,将患者分为3组:A组(早期针刺组)、B组(针刺联合远红外线组)和C组(7天后针刺组)。观察3组患者发病时、发病7天后及治疗后的面神经功能分级,随访6个月的临床治愈率、平均治愈时间、完全性面瘫的治愈时间。
3组患者发病7天后的面神经功能分级、随访6个月的临床治愈率及平均治愈时间比较,差异无统计学意义(P>0.05),但A组和B组完全性面瘫的治愈时间短于C组(P<0.05)。
急性贝尔面瘫患者可采用针灸治疗,传统艾灸可采用远红外线方式替代。