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[不同波形电针治疗周围性面瘫的疗效及安全性评价比较]

[Comparison on efficacy and the safety evaluation on peripheral facial paralysis treated with electroacupuncture of different waveforms].

作者信息

Liu Li-An, Zhu Yun-Hong, Li Qing-Hua, Yu Zhu-Li

机构信息

Acupuncture-Moxibustion Department of Qingdao Hiser Medical Group, Qingdao 266033, Shandong Province, China.

出版信息

Zhongguo Zhen Jiu. 2012 Jul;32(7):587-90.

Abstract

OBJECTIVE

To use electroacupuncture (EA) of different waveforms to treat peripheral facial paralysis and assess the clinical efficacies of 3 kinds of EA waveforms (continuous wave, disperse-dense wave and intermittent wave).

METHODS

One hundred and twenty-nine cases of Bell's palsy were randomly divided into a continuous wave group (45 cases), a disperse-dense wave group (40 cases) and an intermittent wave group (44 cases). The acupoints were Dicang (ST 4), Jiache (ST 6), Taiyang (EX-HN 5), Xiaguan (ST 7), Hegu (LI 4), etc. The House-Brackmann (H-B) scale was used in the assessment on the day of the inclusion, in the 1st, 2nd, 3rd and 4th sessions of treatment and in 1st and 3rd months of the follow-up visit after the end of treatment separately.

RESULTS

The cured rates were 68.9% (31/45), 60.0% (24/40) and 65.9% (29/44) in the continuous wave group, the disperse-dense wave group and the intermittent wave group separately. The results of the rank sum test showed that the efficacy comparison among the groups did not present the statistically significant difference (P > 0.05).

CONCLUSION

Electroacupuncture achieves the significant clinical efficacy on peripheral facial paralysis and there are no any significant differences in the efficacy among the different waveforms. It is suggested that the clinical efficacy of electroacupuncture on the disease has nothing significant correlation with the waveforms.

摘要

目的

采用不同波形的电针治疗周围性面瘫,评估3种电针波形(连续波、疏密波和断续波)的临床疗效。

方法

将129例贝尔面瘫患者随机分为连续波组(45例)、疏密波组(40例)和断续波组(44例)。穴位选取地仓(ST4)、颊车(ST6)、太阳(EX-HN5)、下关(ST7)、合谷(LI4)等。分别于纳入当日、治疗第1、2、3、4次及治疗结束后随访第1、3个月时采用House-Brackmann(H-B)量表进行评估。

结果

连续波组、疏密波组和断续波组的治愈率分别为68.9%(31/45)、60.0%(24/40)和65.9%(29/44)。秩和检验结果显示,组间疗效比较差异无统计学意义(P>0.05)。

结论

电针治疗周围性面瘫临床疗效显著,不同波形之间疗效无明显差异。提示电针对该疾病的临床疗效与波形无明显相关性。

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