精品文档---下载后可任意编辑风热型 Bell 麻痹急性期是否宜针刺的临床讨论的开题报告【摘要】背景：Bell 麻痹是一种急性周围面瘫，临床表现为单侧面部肌肉运动功能障碍，口吃、口干等，病因不明。目前针刺被广泛应用在 Bell 麻痹的治疗中，但其适用范围、有效性和安全性尚未明确。目的：本讨论旨在探讨风热型 Bell 麻痹急性期是否宜针刺。方法：采纳前瞻性、随机、双盲、安慰剂对比的方法，招募 60 例符合临床诊断标准的风热型 Bell 麻痹急性期患者，随机分为针刺组和安慰剂组。针刺组在标准化的针刺治疗下接受治疗，安慰剂组接受假针刺处理。每周治疗 3 次，连续 4 周。疗效主要评估指标为面部肌肉运动功能恢复情况，包括瘫痪肌肉的恢复时间、症状缓解程度、临床疗效评分等；安全性评估指标包括治疗期间和随访期间的不良反应情况和并发症发生率。预期结果：本讨论结果将为风热型 Bell 麻痹急性期患者的治疗提供新的证据。假如针刺治疗与安慰剂组相比具有显著疗效和安全性，将进一步支持针刺治疗的应用。【关键词】Bell 麻痹；针刺；风热型；临床讨论【Abstract】Background: Bell's palsy is an acute peripheral facial palsy, characterized by unilateral facial muscle movement dysfunction, stuttering, dry mouth, etc., with unknown causes. At present, acupuncture is widely used in the treatment of Bell's palsy, but its applicability, efficacy, and safety have not been clarified.Objectives: This study aims to investigate whether acupuncture is suitable for the acute stage of wind-heat type Bell's palsy.Methods: A prospective, randomized, double-blind, placebo-controlled study will be conducted to recruit 60 patients with wind-heat type Bell's palsy in the acute stage who meet the clinical diagnostic criteria, and will be randomly divided into the acupuncture group and the placebo group. The acupuncture group will receive standardized acupuncture treatment, and the placebo group will receive sham acupuncture treatment. Treatment will be administered three times a week for four consecutive weeks. The m...
