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目的:优选面瘫的针刺治疗方案.方法:将63例面瘫患者按正交设计L9(3)4表随机分组、安排试验,采用A(针刺时机)、B(选穴配方)、C(刺激量)、D(电针时间)4因素3水平不同组合方案治疗,观察面神经功能积分的变化,对影响面瘫针刺疗效的A(针刺时机)、B(选穴配方)、C(刺激量)、D(电针时间)4因素3水平组合方案进行优选.结果:B(选穴配方)、D(电针时间)为显著因素(P<0.05),其中B(选穴配方)为最主要的影响因素;在B(选穴配方)、D(电针时间)各自3水平中,B3(交替针刺两组穴位)、D3(电针疏密波治疗30 min)为最佳.结论:交替针刺两组穴位,电针疏密波治疗30 min为本试验的最佳方案.“,”Objective To optimize acupuncture treatment programs for facial paralysis. Methods Sixty-three cases of facial paralysis were randomly grouped according to orthogonal design L9 (3)4table,and treated by different combined programs of 4 factors,A(acupuncture opportunity),B(combination of points ),C(stimulating quantity),D(electroacupuncture time) and 3 levels,and changes of the functional score of the facial nerve were observed,and the different combined programs of the 4 factors,A(acupuncture opportunity),B(combination of point),C(stimulating quantity),D(electroacupuncture time) and 3 levels influencing acupuncture therapeutic effect on facial paralysis were optimized. Results B(combination of points) and D(electroacupuncture time) were obvious factors(P<0.05),among them,B(combination of points ) was the most main influencing factor;among the 3 levels of B(combination of points ) and D(electroacupuncture time),B3(alternately needling two groups of acupoints) and D3(electroacupuncture treatment at sparse-dense wave for 30 min) were the best. Conclusion Electroacupuncture at sparse-dense wave for 30 min,alternately needling two groups of acupoints is the best program for treatment of facial paralysis.