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[目的]观察针灸联合穴位注射治疗贝尔氏面瘫疗效。[方法]使用随机平行对照方法,将58例住院患者按随机数字表法分为两组。对照组26例西药常规治疗(扩血管、类固醇激素和抗病毒)。治疗组26例针灸联合穴位注射治疗,主穴:患侧颊车、地仓、四白、下关、合谷、牵正、风池、阳明、阳白;额纹消失加攒竹穴;鼻唇沟改变加刺迎香穴;人中沟歪斜加水沟穴;耳后疼痛加刺翳风穴。每次选择主穴和3～4个配穴。西药治疗同对照组。连续治疗15d为1疗程。观测临床症状、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组痊愈22例,显效6例,好转3例,无效1例,总有效率96.90%。对照组痊愈9例,显效7例,好转3例,无效7例,总有效率69.20%。治疗组疗效优于对照组(P<0.05)。[结论]针灸联合穴位注射治疗贝尔氏面瘫效果显著、安全,值得推广。
[Objective] To observe the effect of acupuncture and moxibustion combined with acupoint injection in treating Bell's facial paralysis. [Methods] Using randomized parallel method, 58 inpatients were divided into two groups according to random number table. Control group, 26 cases of Western medicine routine treatment (vasodilators, steroids and anti-virus). Treatment group, 26 cases of acupuncture combined with acupoint injection therapy, main points: ipsilateral buccal car, to warehouse, four white, Shimonoseki, Hegu, pull positive, wind pool, Yangming, Yang white; Change the lip groove to add a welcome Ying Xiang; people in the groove askew plus ditch points; ear pain plus stingy wind hole. Each time you choose the main point and 3 to 4 with points. Western medicine treatment with the control group. Continuous treatment 15d for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of 3 courses to determine the efficacy. [Results] The treatment group cured 22 cases, 6 cases markedly improved, 3 cases improved, 1 case ineffective, the total effective rate 96.90%. The control group recovered in 9 cases, markedly effective in 7 cases, improved in 3 cases, ineffective in 7 cases, the total effective rate was 69.20%. The treatment group was better than the control group (P <0.05). [Conclusion] Acupuncture plus acupoint injection is effective and safe to treat Bell 's facial paralysis, which is worthy to be popularized.