电针不同波形疗周围性面瘫的疗效比较.pdfVIP

提 要 目的：在电针治疗周围性面瘫的研究基础上，运用电针的不同波形对周围性面瘫 患者进行治疗，评价电针三种不同波形（连续波、疏密波、断续波）的临床疗效。 方法:将符合入组标准的129例Bell面瘫患者随机分组，采用临床对比研究观察 连续波组（45例）、疏密波组（40例）、断续波组（44例）的治疗效果。以H-B量表 及面神经麻痹程度分级评分表评价为基础，于入组、治疗 1、2、3、4 周后以及治疗 结束后 1、3 月随访中各进行一次人工量表评定。计算各组痊愈率，并运用秩和检验 分析三组间疗效差异，优化电针治疗方案。 结果：本课题临床观察发现，电针不同波形治疗周围性面瘫均有显著疗效。4疗 程治疗结束后连续波组、疏密波组、断续波组的痊愈率分别为68.89%、60%、65.91%。 经秩和检验，组间疗效比较未见显著性差异。同时面神经不同损伤层面疗效比较，治 疗结束后1、3个月随访组间疗效比较均未见显著性差异。 结论：本课题初步研究表明：电针治疗周围性面瘫具有显著的临床疗效；各波形 组间疗效比较未见显著差异，说明本组中电针治疗本病的临床疗效与波形无显著的关 联。有关本病各期的疗效与波形间的关联性研究，仍有待于进一步扩大样本量、完善 临床观察方法。 关键词 电针；波形；周围性面瘫 Clinical Study of Curative Effect on Facial Paralysis by Different Waveforms of Electroacupuncture Speciality:acupuncture and moxibustion Author:Li Qinghua Tutor:Liu Lian Abstract Objective: Based on the previous study of facial paralysis by electroacupunture,this study is to evaluate the effect with different waveforms of eletroacupunture( the continuous wave,wave of condensation and rarefaction,the discontinuous wave).Methods: 129 patients were randomly divided into three groups-wih 45 cases in the group of continuous wave,40 cases in the group of wave of condensation and rarefaction and 44 cases in discontinuous. Then treat the patients with different waveforms.Observe the curative effect by measuring indicator seven times ,calculate the cute rate of every group.The last work is to compile the statistics and to find the most appropriate waveforms in teating the facial paralysis.Results: The result shows that electroacupuncture can improve the symptoms of facial paralysis evidently, and the average cute rate of every group is 68.89% 、60% 、65.91% respectively.After the treatment,the effect complied among the three groups shows no significance in statistics with ranksumtest.The