胡丹丹+麦坚凝+杨思达+梁惠慈+李小晶+

    [摘要] 目的 研究针药联合治疗周围性小儿风寒型急性面瘫的临床效果。 方法 将广州市妇女儿童医疗中心2012年6月~2013年6月收治的80例周围性面瘫小儿急性风寒型作为研究对象，随机分为针药组、药物组，每组各40例。比较两组的治疗效果。 结果 两组患儿治疗后，面部神经功能均有明显改善，针药组改善程度明显优于药物组，两组间差异有统计学意义(t = 6.2437，P = 0.0000)；针药组治愈时间短于药物组，差异有统计学意义(t = 11.4159，P = 0.0000)；两组患儿治疗后，耳后疼痛及面部对称情况均明显好转，针药组好转程度优于药物组，差异有统计学意义(t = 6.3734、9.5397，均P = 0.0000)；针药组治愈率达97.50%，高于药物组的77.50%，差异有统计学意义(χ2=7.3143，P = 0.0068)；两组不良反应发生率均较低，针药组1例发生皮下小范围血肿，药物组1例皮肤起泡，2例感染。 结论 针药联合能有效治疗周围性小儿风寒型急性面瘫，改善患儿的面部神经功能，具有一定的临床意义。

    [关键词] 小儿面瘫；风寒型；急性期；针药联合

    [中图分类号] R245[文献标识码] A[文章编号] 1673-7210(2014)05(a)-0012-03

    Clinical research of acupuncture combined with medicine in the treatment of wind-cold type acute stage of peripheral facial paralysis in children

    HU Dandan MAI Jianning YANG Sida LIANG Huici LI Xiaojing

    Department of Neurological Rehabilitation, Guangzhou Women and Children Health Care Center, Guangdong Province, Guangzhou 510120, China

    [Abstract] Objective To study the clinical effect of acupuncture combined with medicine in the treatment of wind-cold type acute stage of peripheral facial paralysis in children. Methods From June 2012 to June 2013, 80 children with wind-cold type acute stage of peripheral facial paralysis in Guangzhou Women and Children Health Care Center were selected as research object. All children were divided into the combination of acupuncture and medicine group and medicine group, each group had 40 cases. The treatment effects of the two groups were observed. Results After treatment, facial nerve function had obviously improved, the improvement degree of the combination of acupuncture and medicine group was better than the medicine group, with statistically significant difference (t = 6.2437, P = 0.0000). The cure time of the combination of acupuncture and medicine group was shorter than the medicine group, with statistically significant difference (t = 11.4159, P = 0.0000). After treatment, the earache and facial symmetry condition of children had improved, and the improvement degree of the combination of acupuncture and medicine group was better than the medicine group, with statistically significant difference (t = 6.3734, 9.5397, all P = 0.0000). The cure rate of the combination of acupuncture and medicine group was 97.50%, which was higher than the 77.50% of the medicine group, with statistically significant difference (χ2=7.3143, P=0.0068). The incidence of adverse reactions was lower in the two groups, there was 1 case of subcutaneous small area hematoma in the combination of acupuncture and medicine group, and 1 case of skin blister, 2 cases of infection in the medicine group. Conclusion Acupuncture combined with medicine is effective in the treatment of wind-cold type acute stage of peripheral facial paralysis in children, improve children's facial nerve function, which has a certain clinical significance. ......