目的：探索指针疗法与功能训练治疗Bell’s面瘫的临床效果。方法：按病人就诊顺序将111例Bell’s面瘫患者分为试验组(57例)和对照组(54例)，试验组采用指针疗法、功能训练、药物、物理治疗；对照组采用针刺疗法、功能训练、药物、物理治疗。两组治疗前、后均采用Portmann简易评分法评价疗效。结果：治疗前评分试验组(2.597±1.678)，对照组(2.907±1.794)，差异无统计学意义(P＞005)，治疗后评分试验组 (18.404±1.374)，对照组 (18.593±1.743) ，差异无统计学意义(P＞0.05)；面肌功能改善指数试验组(0.859±0.090)，对照组(0.844±0.095)，差异无统计学意义(P＞0.05)。结论：指针疗法与针刺疗法治疗Bell’s面瘫疗效比较差异无统计学意义，二者均有明显的康复疗效；而指针疗法更具有操作简便，无疼痛、无创伤、无晕针症也无交叉感染的优势，避免了许多不利因素，使患者有较好的依从性。
Objective To examine the efficacy of acupuncture in hastening recovery and reducing long-term morbidity from Bell’s palsy. Methods We searched the Cochrane Neuromuscular Disease Group Register Group (Till Feb. 2002), MEDLINE (Jan. 1966 to Dec. 2002); EMBASE (Jan. 1980 to Dec. 2002), LILACS (Jan. 1982 to Dec. 2002) and Chinese Biomedical Retrieval System (Jan. 1978 to Dec. 2002). We also searched grey literature. We identified all randomised or quasi-randomised controlled trials involving acupuncture in the treatment of Bell’s palsy, selected the trials ment the inclusion criteria, assessed the methodological quality, extracted data on trials’ patients, interventions, outcome measurements and results and undertook analysis. Results Three small randomised controlled trials were included but due to some flaws in study designs or reporting and clinical differences between trials, data from trials were not combined in a meta-analysis，and a descriptive analysis was performed.The result indicated a positive effect of acupuncture (all Plt;0.01). Conclusions Three small studies in this review suggested a beneficial effect but the poor quality of the trials precludes us from drawing firm conclusions. There is a need for high quality randomized controlled trials (RCTs) using a study design which assures high internal validity.