世界中医药

目的：观察针灸配合揿针贴压耳穴和蜡疗治疗周围性面神经麻痹的临床疗效。方法：将本院收治的100例周围性面神经麻痹患儿随机分为对照组和治疗组，每组50例。对照组急性期（发病7 d之内）给予快针浅刺，恢复期（发病第8天以后）给予针灸联合透刺治疗，留针20 min。治疗组在对照组治疗基础上配合揿针贴压耳穴和蜡疗。2组治疗均1次/d，10 d为1个疗程，治疗2个疗程后判定疗效。结果：治疗组治愈21例，显效17例，好转12例，无效0例，愈显率为76.0%；对照组治愈15例，显效11例，好转23例，无效1例，愈显率为52.0%。2组对比，差异有统计学意义(P<0.05)。结论：针灸配合揿针贴压耳穴和蜡疗治疗周围性面神经麻痹疗效优于对照组，疗效确切，安全性高，值得临床进一步推广研究。

English Summary:

To assess the clinical effect of acupuncture and auricular points pressed with thumbtack needle and wax therapy in treating peripheral facial nervous paralysis.Methods:A hundred patients with peripheral facial nervous paralysis were randomized into a control group and a treatment group,with 50 in each.The control group received shallow needling in acute stage (within 7 days) and acupuncture with point joining in recovery stage (over 8 days).The treatment group received auricular points pressed with thumbtack needle and wax therapy on the basis of the control group.The two groups treated once a day and 10 days for a treatment session.The treatment effects were assessed after 2 treatment sessions.Results:The cured cases are 21,effective cases 17,improved cases 12,and no invalid case in the treatment group.So the cure and effective rate is 76.0%.In the control group,there are 15 cases cured,11 effective,23 improved,and 1 invalid.The cure and effective rate is 52.0%.The differences between the two groups were statistically significant (P<0.05).Conclusion:Acupuncture and auricular points pressed with thumbtack needle and wax therapy have obvious curative effect and high safety in treating peripheral facial nervous paralysis,which is worthy of further clinical application.

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