目的

观察辨证施治针刺法配合面肌运动治疗小儿周围性面瘫的临床疗效。

方法

选取2010年8月至2014年3月山东省济宁市第一人民医院儿童康复科门诊收治的周围性面瘫患儿80例。按照随机数字表法随机分为治疗组和对照组，治疗组采用辨证施治针刺法配合面肌运动治疗，对照组采用综合康复治疗，10 d为1个疗程，连续治疗4个疗程。治疗后采用面神经功能评价分级系统对2组患者进行疗效评定。

结果

治疗组治愈29例，显效6例，有效3例，无效2例，总有效率95%（38/40）；对照组治愈19例，显效7例，有效4例，无效10例，总有效率为75%（30/40）。2组总有效率比较，差异有统计学意义（χ²=7.684，P＜0.05）。治疗组平均治疗时间为（20.6±3.8）d，对照组为（28.2±4.3）d，2组平均治疗时间比较，差异有统计学意义（t=3.765，P＜0.05）。

结论

辨证施治针刺法配合面肌运动治疗小儿周围性面瘫疗效肯定，值的临床推广应用。

Objective

To observe the clinical therapeutic effect of the syndrome differentiation acupuncture therapy combined with facial muscle movement in treatment of infantile peripheral facial paralysis.

Methods

80 cases of peripheral facial paralysis were selected from the pediatric rehabilitation clinic of the First People's Hospital of Jining，Shandong province from August 2010 to March 2014.According to random number table method they were randomly divided into treatment group and control group.Treatment group was treated by syndrome differentiation acupuncture therapy combined with facial movement，while control group adopted comprehensive rehabilitation treatment.There were continuous four courses of treatment，10 days for a treatment.After treatment，the facial nerve function evaluation grading system was used to evaluate the efficacy of the two groups.

Results

In the treatment group，29 cases were cured and 6 cases showed remarkable effect，3 were effective and 2 cases were ineffective，and the total effective rate was 95%（38/40）.In the control group，19 cases were cured，7 were developed，4 were effective，10 were ineffective，and the total effective rate was 75%（30/40）.By the comparison of the total effective rate between the two groups，difference was statistically significant（χ²=7.684，P＜0.05）.The average treatment time of the treatment group was（20.6±3.8）d，and the control group（28.2±4.3）d.The average treatment time of the two groups was compared，and the difference was statistically significant（t=3.765，P＜0.05）.

Conclusion

The clinical application of the syndrome differentiation acupuncture therapy combined with facial motion in treatment of infantile peripheral facial paralysis is effective and can be used in clinic.