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Objective: To establish the concepts and standards of intractable facial paralysis, looking for an effective therapy for intractable facial paralysis, clinical problems. Method: the collection of Guang An Men Hospital Acupuncture outpatient meet the requirements of facial paralysis patients given Sunnybrook rating FDIS score, FDIP rated their facial features were observed, the disease in patients with psychosomatic effects were observed. On this basis, the forward-looking corresponding queue clinical trial design, self-controlled, the establishment of milli-fire needle acupuncture group (group A, the treatment group) and acupuncture group (B group, the control group), and further observed after treatment 1,3,6,9 weeks Sunnybrook rating FDIS score, FDIP scores and adverse events rated. Using SPSSl3.0 statistical software for data analysis, assessment mm fire needle with acupuncture is an effective therapy for intractable facial paralysis, its efficacy is superior to simple acupuncture. Results: A total of 35 cases to meet the requirements of the cases, of which 22 were willing to accept cents fire needle acupuncture, acupuncture therapy in 13 patients are willing to accept. 1 week after treatment, fire needle plus acupuncture group (A group, treatment group) Sunnybrook score a statistically significant difference P (LT; 0.01), social interaction and self-feeling score (FDIS) also improved (P lt; 0.05 ), its physiological function score (FDIP) has not improved. We can see milli-fire needle acupuncture treatment of intractable facial paralysis is valid. Acupuncture group (B group and control group) Sunnybrook score, the physiological function score (FDIP), and social interaction and sensory scores (FDIS) showed no improvement. But we can see two sets of Sunnybrook rating, FDIP score FDIS score was no significant difference between the two groups. Still can not prove mm fire needle acupuncture is better than acupuncture. 3 weeks after treatment, A group of Sunnybrook rated, rated FDIP, FDIS rating, have significantly improved (P lt; 0.01) mm fire needle acupuncture in the treatment of a significant improvement. Group B There were no significant differences in these three ratings, indicating that acupuncture stubborn facial paralysis no significant improvement. In between the two groups, the two groups are statistically different in the three ratings, indicating that not prove mm fire needle acupuncture is better than acupuncture. After 6 weeks of treatment, A group of Sunnybrook score ratings FDIP, FDIS rating, were statistically significant differences (P lt; 0.01) mm fire needle acupuncture in the treatment of a significant improvement. Group B was no significant difference in these three ratings, can not prove that acupuncture stubborn facial paralysis significant improvement. Between the two groups, the two groups Sunnybrook rating, FDIP score, no significant difference statistically significant difference (P lt; 0.05), but in the FDIS already proved mm fire needle acupuncture for the stubborn facial paralysis patients social interaction and sense of self improvement is superior to acupuncture, but still can not prove that the facial nerve assessment system Sunnybrook (Toronto), the physiological function score (FDIP) better. After nine weeks of treatment, group A (fire needle acupuncture group) Sunnybrook score, rating FDIP, FDIS score compared with before treatment there was a significant difference (P lt; 0.01), indicating that the treatment significantly improved. Sunnybrook score of the acupuncture group, FDIP rated comparison with before treatment were significantly different (P lt; 0.05), to prove that the treatment has improved; FDIS score, there was no statistically significant difference (P gt; 0.05), can not prove that acupuncture improvement in social interaction and sense of self. Between the two groups, the two groups in Sunnybrook score, FDIP score was no significant difference in the FDIS significant difference (P lt; 0.05) prove cents fire needle acupuncture for the stubborn facial paralysis in patients with social interaction and sense of self improvement but still can not prove superior to acupuncture, facial nerve Sunnybrook (Toronto) rating system the physiological function score (FDIP) better. In summary, the fire needle acupuncture is an effective treatment for intractable facial paralysis, rapid onset (1 week of treatment at Sunnybrook score has improved significantly, social interaction and self-feeling score (FDIS) also improved), and The effect lasts. The stubborn facial paralysis patients with social interaction and self-feeling improvement cents fire needle and acupuncture is superior to acupuncture, but still lacks the support of positive results in facial nerve function Sunnybrook (Toronto) score, physical function score (FDIP), further increase the number of sample cases may be more telling. Conclusion cents plus fire needle acupuncture is an effective method for the treatment of intractable facial paralysis, and faster onset of action, have a significant effect on the improvement of facial nerve function the Sunnybrook score the body function score (FDIP), and social interaction and sense of self rating (FDIS) ; safe without side effects of the therapy; milli-fire needle acupuncture treatment of the stubborn facial paralysis with acupuncture can not prevent the emergence of sequelae.
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