ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (6): 524-526.doi: 10.3969/j.issn.1674-3865.2017.06.021

• 临床研究 • 上一篇    下一篇

西医结合面三针治疗小儿周围性面瘫疗效观察

曹震，刘小雪   

  1. 121000 辽宁 锦州，锦州市妇婴医院儿保康复中心
  • 出版日期:2017-12-25 发布日期:2018-11-19
  • 通讯作者: 曹震，E-mail：caozhen809@163.com
  • 作者简介:曹震（1976-），男，副主任医师。研究方向：针灸推拿治疗小儿神经系统疾病

Clinical research on the treatment for pediatric peripheral facial paralysis by facial three-needle acupuncture combined with routine western medical therapy

CAO Zhen,LIU Xiaoxue   

  1. Children's Health Care and Rehabilitation Center,Women and Children's Hospital of Jinzhou,Jinzhou 121000,China
  • Online:2017-12-25 Published:2018-11-19

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摘要：
目的
观察西医结合面三针治疗小儿周围性面瘫临床疗效。
方法
选取2012年8月至2017年1月锦州市妇婴医院周围性面瘫患儿33例为研究对象。急性期（发病约7 d内）采用西医常规治疗；静止期（发病8～20 d）开始加用以面三针为主穴的针刺治疗，每日针刺1次，治疗5 d休息2 d，7 d为1个疗程，治疗8个疗程后进行疗效评价。分别于针刺治疗前（发病第8天）和针刺治疗后（发病2个月时），由同一医师进行疗效评定，2个月内痊愈者及时评定。
结果
加用面三针治疗后总有效率为96.97%（32/33），显著高于针刺前总有效率78.79%（26/32），差异有统计学意义(Z=-6.707，P<0.05)。
结论
西医结合面三针治疗小儿周围性面瘫疗效显著。

关键词: 面瘫, 面神经炎, 面神经麻痹, 针刺, 儿童

Abstract:
Objective
To observe the clinical efficacy of the treatment for pediatric facial paralysis by facial three-needle acupuncture combined with routine western medical therapy.
Methods
Totally 33 children with peripheral facial paralysis were observed. The routine western medical therapy was used in acute stage (within 7 days of onset),and facial three-needle acupuncture combined with routine western medical therapy was applied during quiescent and recovery stages (from 8 days to 20 days),once a day,  five times a week,7 days as a course for 8 courses.The curative effectiveness was assessed before acupuncture treatment (7 days after onset) and after acupuncture treatment (2 months or any time within 2 months on recovery) by the same physician.
Results
The total effective rate of the three-needle therapy was 96.97%(32/33),significantly higher than that before acupuncture (78.79%,26/32),the difference being statistically significant (Z=-6.707,P<0.05).
Conclusion
The facial three-needle acupuncture combined with routine western medical therapy has significant effect in treating pediatric peripheral facial paralysis.

Key words: Facial paralysis, Facial neuritis, Facioplegia, Acupuncture, Children