目的：观察针刺联合甲钴胺治疗外伤性周围性面神经损伤的临床疗效。方法：选择80 例外伤性周围性面神经损伤患者为研究对象，随机分为观察组与对照组各40 例。2 组均接受常规治疗，对照组同时口服甲钴胺，观察组在对照组基础上联合针刺治疗。比较2 组治疗前后改良Portmann 简易评分，并比较2 组临床疗效。结果：与同组治疗前比较，2 组治疗后改良Portmann 简易评分均升高（P＜0.05）；与对照组治疗后比较，观察组治疗后改良Portmann 简易评分较高（P＜0.05）。观察组治疗总有效率92.50%，明显高于对照组75.00%（P＜0.05）。结论：针刺联合甲钴胺是治疗外伤性周围性面神经损伤的有效方法，可以改善患者的面部症状，提高临床疗效。
Abstract：Objective：To observe the clinical effect of the therapy of acupuncture combined with mecobalamine on the treatment of traumatic peripheral facial nerve injury. Methods： A total of 80 patients with traumatic peripheral facial nerve injury were selected as the research objects，and randomly divided into the observation group and the control group，with 40 cases in each group. Both groups received conventional treatment，while the control group was additionally treated with an oral administration of mecobalamine，and the observation group additionally received acupuncture based on the treatment of the control group. The modified Portmann simple scores before and after treatment were compared between the two groups， and the clinical effect was compared between the two groups. Results： Compared with those before treatment， the modified Portmann simple scores in both groups were increased after treatment(P＜0.05)； compared with that in the control group，the modified Portmann simple score was higher in the observation group after treatment(P＜0.05). The total effective rate was 92.50% in the observation group，significantly higher than that of 75.00% in the control group(P＜0.05). Conclusion：The therapy of acupuncture combined with mecobalamine is an effective method for the treatment of traumatic peripheral facial nerve injury，which can improve the facial symptoms of patients and improve the clinical effect.