Liang Fanrong, Li Ying, Yu Shuguang, Li Changdu, Hu Lingxiang, Zhou Dong, Yuan Xiuli, Li Yi
The College of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Sichuan 610075, China.
J Tradit Chin Med. 2006 Mar;26(1):3-7.
To confirm the clinical therapeutic effects of acupuncture and moxibustion on Bell's palsy.
480 cases from 4 hospitals were enrolled for this study, among whom 439 cases completed the whole course of the study. The patients were randomly divided into the following 3 groups, a control group(treated with prednisone, vitamin B1, vitamin B12 and dibazol), an acu-moxibustion group (treated with filiform needle plus moxibustion), and a basic treatment plus acu-moxibustion group (treated with oral medicine like those in the control group plus acupuncture, and with moxibustion like in the acu-moxibustion group). The whole treatment course lasted 4 weeks. The therapeutic effects were evaluated according to the symptoms and signs, House-Brackmann grading scale and facial disability indexes(FDI).
All the 4 centers (hospitals) completed this study well, with no statistically significant difference found among the 4 centers in therapeutic effects. The patients with different conditions were well distributed in the 3 groups, thus the basic general data were comparable (P > 0.05). The therapeutic effects of the two treatment groups were better than the control group (respectively P < 0.05 and P < 0.01), and it was the best in the acu-moxibustion group (P < 0.01).
Acupuncture and moxibustion may exert definite therapeutic effects on Bell's palsy, better than that of the basic treatment group or the basic treatment plus acu-moxibustion group.
证实针灸治疗贝尔面瘫的临床疗效。
本研究纳入4家医院的480例患者，其中439例完成了整个研究过程。患者被随机分为以下3组：对照组（采用泼尼松、维生素B1、维生素B12和地巴唑治疗）、针灸组（采用毫针加艾灸治疗）和基础治疗加针灸组（采用与对照组相同的口服药物加针刺治疗，并与针灸组一样采用艾灸治疗）。整个疗程持续4周。根据症状体征、House-Brackmann分级量表和面部残疾指数（FDI）评估治疗效果。
所有4个中心（医院）均顺利完成本研究，4个中心之间的治疗效果无统计学显著差异。不同病情的患者在3组中分布良好，因此基本一般资料具有可比性（P>0.05）。两个治疗组的治疗效果均优于对照组（分别为P<0.05和P<0.01），且针灸组效果最佳（P<0.01）。
针灸对贝尔面瘫可能有确切疗效，优于基础治疗组或基础治疗加针灸组。
