Liu Li-An, Zhu Zai-Bo, Qi Qi-Hua, Ni Shan-Shan, Cui Chen-Hua, Xing Dan
Zhongguo Zhen Jiu. 2010 Dec;30(12):989-92.
To compare the therapeutic effects of peripheral facial paralysis in acute stage by different interventions and explore the better treatments of peripheral facial paralysis.
One hundred and thirty one cases of Bell's facial paralysis were randomly divided into three groups. In acupuncture group (44 cases), Dicang (ST 4), Jiache (ST 6), Hegu (LI 4), Yangbai (GB 14) and Taiyang (EX-HN 5), etc. were applied; in electroacupuncture group (45 cases), the selection of acupoints and needling method were same as those in acupuncture group, and the electroacupuncture therapy was applied on Dicang (ST 4), Xiaguan (ST 7), Yangbai (GB 14) and Taiyang (EX-HN 5) in acute stage; in medication and acupuncture group (42 cases), Prednisone and Acyclovir were taken by oral administration, Vitamin B1 and Vitamin B12, were applied by intramuscular injection in acute stage, and acupuncture was applied by the way which was same as that in acupuncture group during quiescent and recovery stages. The curative effects were evaluated by House-Brackmann Grading Scale, and the failed rates were observed by follow-up after one and three months.
The cured and markedly effective rates were 79.6% (35/44), 93.4% (42/45) and 78.6% (33/42) respectively in acupuncture group, electroacupuncture group and medication and acupuncture group, and the result in electroacupuncture group was superior to those in acupuncture group and medication and acupuncture group (P < 0.05). The cured rates above tympanichord were 54.2% (13/24), 85.2% (23/27) and 48.0% (12/25) in acupuncture group, electroacupuncture group and medication and acupuncture group, and the result in electroacupuncture group was superior to those in acupuncture group and medication and acupuncture group (P < 0.01). There was no significant differences of cured rates below tympanichord among three groups (P > 0.05); and the failed rate in electroacupuncture group was much lower than those in acupuncture group and medication and acupuncture group by follow-up after one and three months (all P < 0.01).
The peripheral facial paralysis is effectively treated by electroacupuncture in acute stage, and it suggests that electroacupuncture should be applied early during the acupuncture treatment of peripheral facial paralysis.
比较不同干预措施对急性期周围性面瘫的治疗效果，探寻周围性面瘫的更佳治疗方法。
将131例贝尔面瘫患者随机分为三组。针刺组（44例）选取地仓（ST4）、颊车（ST6）、合谷（LI4）、阳白（GB14）、太阳（EX-HN5）等穴位；电针组（45例），穴位选择及针刺方法同针刺组，急性期在地仓（ST4）、下关（ST7）、阳白（GB14）、太阳（EX-HN5）应用电针治疗；药物加针刺组（42例），急性期口服泼尼松和阿昔洛韦，肌肉注射维生素B1和维生素B12，静止期及恢复期针刺方法同针刺组。采用House-Brackmann分级量表评估疗效，随访1个月及3个月观察失效率。
针刺组、电针组、药物加针刺组的痊愈率和显效率分别为79.6%（35/44）、93.4%（42/45）、78.6%（33/42），电针组效果优于针刺组和药物加针刺组（P<0.05）。针刺组、电针组、药物加针刺组镫骨肌支以上部位的痊愈率分别为54.2%（13/24）、85.2%（23/27）、48.0%（12/25），电针组效果优于针刺组和药物加针刺组（P<0.01）。三组镫骨肌支以下部位的痊愈率差异无统计学意义（P>0.05）；随访1个月及3个月，电针组的失效率远低于针刺组和药物加针刺组（均P<0.01）。
电针治疗急性期周围性面瘫疗效显著，提示在周围性面瘫针刺治疗中应早期应用电针。
