A Retrospective Study On Influencing Factors Of Peripheral Facial Paralysis

Peripheral facial paralysis, which is called facial neuritis or prosopoplegia in modern medicine, is a kind of facial mimetic muscle paralysis caused by facial nerve dysfunction. The main clinical symptom is facial distortion. Some patients may have sore eyes, lacrimation, herpes, hyperakusis, hypacusia and numbness in 2/3 of anterior tongue. According to Chinese traditional medicine, due to insufficiency of healthy qi, deficiency of meridians and collaterals, exogenous pathogenic factors such as cold wind and hot wind will take the opportunity to attack the facial meridians and col laterals, which will cause paralysis. Paralysis will block the moving of qi and blood, which will cause the malnutrition of the aponeurotic system and lacking control over muscle and muscle flaccidity. Peripheral facial paralysis is age-indiscriminate and unseasonal. Most of the patients are attacked abruptly and are usually on one side. This disease can be self-healed to some extent and most patients can recover while only a small part of patients will suffer from sequela and complication.PurposeTo provide references for prevention and clinical treatment of peripheral facial paralysis through primarily analyzing and summarizing the pathogeny and the relationship between pathogeny and main accompanied symptoms based on the retrospective analysis of the peripheral facial paralysis patients from Jun,2008 to May,2014 in the Acupuncture department of the Dong Zhimen Hospital, Beijing University of Chinese Medicine.Method1. Screening the peripheral facial paralysis patients from Jun,2008 to May, 2014 in hospital according to the diagnostic criteria, inclusion criteria and exclusion criteria and selecting 165 valid cases who live in Beijing.2. Collecting information in regard of the 165 selected cases. Including:(1)Basic clinical data:name; gender; age; patient identification number etc;(2)Medical history:diagnoses both by Chinese medicine and western medicine; pathogeny; admission time; symptoms and physical signs etc.(3)Attacked time etc.3. Arranging the collected data and inputting them to the SPASS statistical software to make statistic analysis; and then give descriptive analysis to the results.Result1.The patients with peripheral facial paralysis have no obvious gender differences, and can be found at any age group, in which the middle age (36-55 years old) takes the majority with a proportion of 39.4%. This may be related to the high life and working pressures of people in this group, and the hypofunction of the physical functions. Once suffered from cold, wind-heat and other exogenous pathogenic factors, the risk of peripheral facial paralysis would be higher. The next susceptible group is the young people (under 36) with a proportion of 30.9%. The most common etiology of this group is the carelessness in daily life which results in the cold, wind-heat and other exogenous pathogenic factor. The incidence in the old people is 29.7%, which is similar to the incidence in young group. The main reason of this lies in the hypofunction of the physical functions, deficiency of qi and blood and associated with exogenous pathogenic factors.2. The intensive season of the peripheral facial paralysis is winter, followed by autumn, while spring and summer has a comparatively low morbidity. This phenomenon is probably associated with the cold weather in winter, in which it will be more susceptible to catch a cold.3. The main Influencing Factors of the peripheral facial paralysis can be classified into exogenous factors and endogenous factors. The exogenous factors mainly include the cold and wind-heat, which mostly occur in winter-fall and summer-spring respectively. The main endogenous factors include the tireness and emotional fluctuation. Different factors are correlated with different clinical symptoms and physical signs. The sign of the tireness-based patients is numbness in 2/3 of anterior tongue, while the emotion-based patients suffer from sore eyes, lacrimation, herpes, hyperakusis, hypacusia and other eye and ear symptoms. It is common that the two factors attack human bodies together to cause the peripheral facial paralysis.