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[面瘫针刺治疗方案的优化]

[Optimization of acupuncture treatment programs for facial paralysis].

作者信息

Luo He-Ping, Lin Tian-dong, Cai Min, Huang Xian-xun, Wang Bang-bo, Gao Wei-keng

机构信息

Department, Hainan Provincial Hospital of TCM, Haikou 570203, China.

出版信息

Zhongguo Zhen Jiu. 2010 Feb;30(2):93-6.

Abstract

OBJECTIVE

To optimize the acupuncture treatment programs for facial paralysis.

METHODS

Sixty-three patients of facial paralysis were randomly divided and treated according to the table of L9 (3)4 in orthogonal test. They were treated with different combined programs of 4 factors and 3 levels, including factor A (acupuncture op portunity), B (acupoints prescription), C (quantity of stimulus) and D (time of electroacupuncture). The change of facial nerve function score was observed to choose the best acupuncture treatment program for facial paralysis from factor A (acupuncture opportunity), B (acupoints prescription), C (quantity of stimulus), D (time of electroacupuncture) and their 3 levels in each factor.

RESULTS

B (acupoints prescription) and D (time of electroacupuncture) were significant factors (P < 0.05), and B (acupoints prescription) was the most important influential factor. B3 (alternative use of two groups of acupoints) was the best one among the 3 levels of B (acupoints prescription), and D3 (electroacupuncture in disperse-dense wave for 30 min) was the best one of D (time of electroacupuncture).

CONCLUSION

Two groups of acupoints alternatively used with electroacupuncture in disperse-dense wave for 30 min is the best treatment program for facial paralysis.

摘要

目的

优化面瘫的针灸治疗方案。

方法

将63例面瘫患者随机分组,按正交试验L9(3)4表进行治疗。采用4因素3水平的不同组合方案,包括因素A(针刺时机)、B(穴位处方)、C(刺激量)和D(电针时间)。观察面神经功能评分的变化,从因素A(针刺时机)、B(穴位处方)、C(刺激量)、D(电针时间)及其各因素的3个水平中选择面瘫的最佳针灸治疗方案。

结果

B(穴位处方)和D(电针时间)为显著因素(P<0.05),其中B(穴位处方)是最重要的影响因素。B3(两组穴位交替使用)是B(穴位处方)3个水平中的最佳方案,D3(疏密波电针30分钟)是D(电针时间)中的最佳方案。

结论

两组穴位交替使用并疏密波电针30分钟是面瘫的最佳治疗方案。

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