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The Clinical Observation on the Treatment of Acute Peripheral Facial Paralysis by "Jing Jin" Acupuncture Method

Author: YangZuo
Tutor: ZhangHongXing
School: Hubei College of Traditional Chinese Medicine
Course: Acupuncture and Massage
Keywords: Peripheral Facial Paralysis Tendons needling Blink reflex Scale
CLC: R277.7
Type: Master's thesis
Year: 2009
Downloads: 148
Quote: 2
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Abstract


Objective: To observe the clinical efficacy. \objective evaluation of facial paralysis degree of classification score sheet as well as nerve electrophysiological examination, scientific evaluation of clinical efficacy for the treatment of acute peripheral facial paralysis by tendon needling, provide a reliable basis for clinical treatment of the method and guiding principles. Methods: this study selected 150 subjects from the period March 2007 - August, Wuhan Integrative hospitals acupuncture clinics and wards are admitted to acute peripheral facial paralysis patients. In all cases before treatment by the Danish production Keypoint EMG / evoked potential for the detection of degree of face neuropathy loss, and the reference to \SPSS13.0 statistical software to generate random numbers, randomized 150 patients in a 1:1:1 ratio evenly divided into three groups, namely, by the the gluten group (treatment group), the routine acupuncture group (control group I) and western medicine group ( the control group Ⅱ), n = 50 cases. The main points of the tendon group to warehouse, buccal car, Hegu, Yang Bai, sun, wind nebula, zygomatic liao Shimonoseki. Shallow nasolabial fold plus yingxiang; the brow lift difficulties plus Cuanzhu; of people ditch skew plus mouth Wo liao; the chin lip bearing slurry ditch skew add. Methods of operation: the facial points Yifeng take the lesion side gu take contralateral; ground positions, buccal car, sun, zygomatic liao through-point method (to warehouse through the buccal car, sun through the zygomatic liao), needle body and skin angle of 15 °. Acupoint male white, Hegu, Yifeng, the Shimonoseki acupuncture needle for 30 minutes. Treatment group, between the the take to warehouse cheek car, according to the Meridian tendons through the line route to take multi-pin shallow needling, every 0.5-inch needle. Needle retention process every 10 minutes in line needle row needle time of 10-15 seconds / treatment once a day, five times as a course of treatment, each course of two days of rest, a total of four treatment courses. The control group Ⅰ, face various points, the affected side Yifeng, Hegu take the healthy side, each hole using conventional acupuncture needle retention time, line needles frequency and course of treatment with by tendon group. Control Ⅱ group, early oral prednisone, with the intramuscular injection vitamin B 1 B 12 late simple oral vitamin B 1 . After the end of treatment, observe the clinical efficacy of the patients in each group. And an objective analysis of the House-Brackmann, before and after treatment of FDI, facial paralysis degree classification score and blink reflex change. Results: After four cycles of treatment, the three groups are effective. And the treatment group than the control group Ⅱ, the difference was statistically significant (P <0.01); compare the treatment group and the control group Ⅰ, the difference was not statistically significant (P> 0.05); compare the two groups, the cure rate, the treatment group significantly better than the control group Ⅰ (P <0.05), prompted by the tendons needling better treatment of acute peripheral facial paralysis. BR comparison: R 1 waves as observed. Each group before and after treatment R 1 value change both the treatment group and the control group Ⅰ significant difference (P <0.01), the difference was not statistically significant (P> 0.05) of the control group Ⅱ. The the R 1 difference, control II group and the treatment group and the control group Ⅰ analysis of the three groups before and after treatment there was a significant difference, and the treatment group and the control group Ⅰ difference was also statistically significant. FDI Rating: divided into functional assessment of physical function score and social life is divided into two parts. Physical function score: differences in the treatment group and the control group Ⅰ group significance (P <0.01); analysis of the difference between the three groups before and after treatment in physical function score among the three groups have a significant difference (P <0.01). Social life function score: compare each group to own scores before and after treatment, the treatment group and the control group Ⅰ was statistically significant (P <0.01); analysis of the difference of social life function scores before and after the treatment of the three groups, the control group Ⅱ with former between the two groups with a significant difference (P <0.01); while no statistically significant difference between before and after treatment of social life function scores of the treatment group and the control group Ⅰ. The degree of facial paralysis grading: groups before and after treatment ratings were statistically significant; analysis of the difference between the three groups before and after treatment facial paralysis scores among the groups showed significant differences (P <0.01). Conclusion: This study showed that the tendon needling for acute peripheral facial paralysis exact, either mitigate or neurophysiological indicators of clinical symptoms improved significantly superior to conventional acupuncture group and western medicine group. In addition, the therapy also has a short course, the advantages of high cured. Clinical as the preferred program for the treatment of patients with acute peripheral facial paralysis.

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