电针治疗急性周围性面神经麻痹的随机对照研究  

A Randomized Controlled Study on the Treatment of Acute Peripheral Facial Paralysis with Electroacupuncture under Different Parameters

作　　者：张雪莲 罗琳 胡杨 王金红 张君斌 方卉萍 刘蜀冰 徐红 李瑾 杨雄科 杨元松 施静 ZHANG Xuelian;LUO Ling;HU Yang;WANG Jinhong;ZHANG Junbin;FANG Huiping;LIU Shubing;XU Hong;LI Jin;YANG Xiongke;YANG Yuansong;SHI Jing(Yunnan University of Chinese Medicine,Kunming,650500,China;Xuanwei Traditional Chinese Medicine Hospital,655400,China;Jianshui Hospital of Traditional Chinese Medicine,654300,China;Yanshan Hospital of Traditional Chinese Medicine,663100,China;Tengchong Hospital of Traditional Chinese Medicine,679100,China;The First Affiliated Hospital of Yunnan University of Chinese Medicine/Yunnan Provincial Hospital of Traditional Chinese Medicine,Kunming,650021,China)

机构地区：[1]云南中医药大学,云南昆明650500 [2]宣威市中医医院,云南宣威655400 [3]建水县中医医院,云南建水654300 [4]砚山县中医医院,云南砚山663100 [5]腾冲市中医医院,云南腾冲679100 [6]云南中医药大学第一附属医院/云南省中医医院,云南昆明650021

出　　处：《云南中医学院学报》2021年第2期53-57,共5页Journal of Yunnan University of Traditional Chinese Medicine

基　　金：云南省卫生科技计划项目(2017NS157)。

摘　　要：目的探讨基于不同参数下电针治疗急性周围性面神经麻痹的临床疗效,提供临床电针早期介入治疗面瘫的最佳参数的科学依据。方法采用随机对照试验方法,将133例急性周围性面神经麻痹患者随机分为A组(2Hz<疏密波≤5Hz组);B组(1Hz<疏密波≤2Hz组);C组(2Hz<连续波≤5Hz组);D组(1Hz<连续波≤2Hz组);E组(普通针刺组)5个治疗组。并在入组前、治疗2疗程、治疗4疗程后采用House-Brackmann局部量化评分量表、中医症状积分量表以及总有效率进行临床疗效评价。结果H-B局部量化评分量表及中医症状积分量表组内比较差异均具有统计学意义(P<0.05),组间比较无统计学意义(P>0.05)。各组治疗总有效率分别为A组100%、B组95.7%、C组92.9%、D组94.8%、E组100%,5种治疗方案疗效比较差异没有统计学意义(P>0.05)。结论5种治疗方案均为急性周围性面神经麻痹的优势治疗方案;电针早期介入治疗有效。提示可能在临床上应用低频的电刺激也可促使面神经麻痹患者具有较良好的愈后。Objective To investigate the clinical efficacy of electroacupuncture on the basis of different parameters in the treatment of acute facial paralysis,and to provide the scientific basis for the optimal parameters of early clinical electroacupuncture on the treatment of facial paralysis.Methods A total of 133 patients with acute facial paralysis were randomly divided into five treatment groups:A group(2 Hz<density wave≤5 Hz group);Group B(1 Hz<density wave≤2 Hz group);Group C(2 Hz<continuous wave≤5 Hz group);Group D(1 Hz<continuous wave≤2 Hz group);Group E(common acupuncture group).The House-Brackmann Local Quantitative Scoring Scale,TCM Symptom Scoring Scale and the total effective rate at the end of treatment were used to evaluate the clinical efficacy before study,after 2 courses of treatment,and after 4 courses of treatment.Results There were statistically significant differences within the groups in H-B Local Quantized Score Scale and TCM Symptom Score Scale(P<0.05),but no statistically significant differences between groups(P>0.05).The total effective rate of each group was 100%in group A,95.7%in group B,92.9%in group C,94.8%in group D,and 100%in group E,respectively.There was no statistically significant difference in the efficacy of the 5 treatment schemes(P>0.05).Conclusion All the 5 therapeutic regimens are the dominant therapeutic regimens for acute facial paralysis.Early interventional treatment with electroacupuncture is effective.It may be in clinical application of low level of stimulation can make facial nerve paralysis patients have a better recovery.

关 键 词：面神经麻痹 电针 电针刺激参数 随机对照研究 

分 类 号：R246.6[医药卫生—针灸推拿学]