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重庆医科大学附属第一医院神经内科
纸质出版日期:2010,
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[1]曾丹,李光勤.针灸对不同损伤程度面神经炎患者治疗疗效的影响[J].重庆医科大学学报,2010,35(03):448-450.
ZENG Dan, et al. Effecct of acupuncture on patient with facial neuritis with different degrees of injury[J]. Journal of Chongqing Medical University, 2010,35(3):448-450.
[1]曾丹,李光勤.针灸对不同损伤程度面神经炎患者治疗疗效的影响[J].重庆医科大学学报,2010,35(03):448-450. DOI: 10.13406/j.cnki.cyxb.2010.03.004.
ZENG Dan, et al. Effecct of acupuncture on patient with facial neuritis with different degrees of injury[J]. Journal of Chongqing Medical University, 2010,35(3):448-450. DOI: 10.13406/j.cnki.cyxb.2010.03.004.
目的:观察针灸对不同损伤程度面神经炎患者的治疗效果。方法:60例单侧面神经炎患者根据患侧与健侧面神经传导速度的波幅比分为≥30%和<30%两组
其中波幅比≥30%组44人
波幅比<30%组16人
两组内再随机分为药物加针灸治疗组(治疗组)和单用药物治疗组(对照组)。治疗组均在发病第二周开始加用针灸治疗。按照House-Brackmann面神经分级系统观察患者治疗前、治疗后2月病情恢复情况。结果:治疗2月后波幅比≥30%组内治疗组痊愈18例(81.82%)
显效2例(9.09%)
有效2例(9.09%)
无效0例(0%);对照组痊愈15例(68.18%)
显效4例(18.18%)
有效1例(4.55%)
无效2例(9.09%)。两组治疗效果无显着性差异。波幅比<30%组内治疗组痊愈1例(12.5%)
显效6例(75%)
有效1例(12.5%)
无效0例(0%);对照组痊愈0例(0%)
显效1例(12.5%)
有效5例(62.5%)
无效2例(25%)。两组治疗效果有显着性差异。结论:波幅比≥30%面神经炎患者
针灸并不增加疗效;波幅比<30%者
针灸治疗可以提高疗效。
Objective:To observe the efficacy of acupuncture in patient with facial neuritis with different degrees of injury.Methods:60 patients with facial neuritis were divided into two groups on the basis of wave amplitude of injured side to normal side:≥30% group and <30% group.There were 44 patients in ≥30% group and 16 patients in<30% group.The patients of two groups were randomly divided into 2 groups:medicine plus acupuncture treatment group(therapy group) and medicine treatment group(control group).The therapy group were given acupuncture from secondary week of the onset.According to House-Brackmann facial nerve grading system
the facial nerve function was recorded before treatment and after two months of treatment.Results:After two months of treatment
in the therapy group of ≥30% group
there were 18 cases(81.82%)of complete recovery
2 cases(9.09%)of excellence
2 cases(9.09%)of valid success
0 case(0)of failure.In the control group of≥30% group
there were 15 cases(68.18%)of complete recovery
4 cases(18.18%)of excellence
1 case(4.55%)of success
2 cases(9.09%)of failure.There was not significant difference between the therapy group and the control group.After two months of treatment
in the therapy group of<30%:there were 1 case(12.5%)of complete recovery
6 cases(75%)of excellence
1 case(12.5%)of success
0 case(0)of failure.In control group of<30%:there were 0 case(0)of complete recovery
1 cases(12.5%)of excellence
5 case(62.5%)of success
2 cases(25%)of failure.There was significant difference between the therapy group and the control group.Conclusion:The acupuncture treatment is ineffective for the facial neuritis with the ratio of wave amplitude≥30% and effective for the facial neuritis with the ratio of wave amplitude<30%.
面神经炎电生理针灸
Facial neuritisElectrophysiologyacupuncture
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