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目的:观察针刺结合半导体激光治疗周围性面瘫的疗效及预后。方法:将81例患者随机分为2组,治疗组47例采用针刺结合半导体激光照射治疗,对照组34例采用温针灸治疗。结果:治疗组痊愈率为87.2%,总有效率为95.7%;对照组分别为64.7%和88.2%。2组痊愈率比较,差异有显著性意义(P<0.05),但2组总有效率比较,差异无显著性意义(P>0.05)。2组A段、B段患者的痊愈率,经四格表确切概率法比较,差异有显著性意义(P<0.05);2组D段患者无1例治愈,2组均为A段较B段、C段、D段治疗效果好。早期(10天内、11～30天)痊愈病例明显多于病程长(60～90天)的病例。结论:针刺结合半导体激光治疗周围性面瘫是一种简便安全、疗效满意的治疗方法,值得推广应用。
Objective: To observe the efficacy and prognosis of acupuncture combined with semiconductor laser in the treatment of peripheral facial paralysis. Methods: 81 patients were randomly divided into two groups. The treatment group (47 cases) was treated with acupuncture combined with semiconductor laser irradiation. The control group (34 cases) were treated with warm acupuncture and moxibustion. Results: The cure rate of the treatment group was 87.2%, the total effective rate was 95.7%; the control group were 64.7% and 88.2%. There was no significant difference between the two groups in the total effective rate (P> 0.05). The cure rate of patients in group A and group B was significantly lower than that in group B (P <0.05) Section, C section, D section treatment effect is good. Early (10 days, 11 to 30 days) was significantly longer than the duration of illness recovery (60 to 90 days) of the cases. Conclusion: Acupuncture combined with semiconductor laser for the treatment of peripheral facial paralysis is a simple and safe treatment with satisfactory curative effect, which is worth popularizing and applying.