Clinical Research Of Blood-letting Therapy In The Treatment Of Acute Peripheral Facial Paralysis

BackgroundPeripheral facial paralysis in ancient times known as "wo oblique", "mouth oblique", "wo oblique eye and mouth" and so on. In the TCM theory, it thinks this disease happened because of the collaterals being void and defenceless, weakened defensive QI, and cold or hot wind evil influent the facial meridians that causing blockage of blood, the muscle dysfunction, tendon and fat lossing constraints. Peripheral facial paralysis is a clinical common and frequently occurring disease which could found in any age. It usually onset acutely on one-side and the symptoms will come up to the peak in a few hours or 1-3 days. The symptoms are that the veins of the forehead dissappeared, the crack of eyes enlarge, eyes browses may not close completely, easy to cry, phitrum becomes shallow, the conner of the mouth trends downward and paralysis to the healthy side, and can not wrinkle, knit the brows, grin the mouth, blow cheek and whistle. It is known as Bell's palsy or idiopathic facial paralysis in the western medicine.Currently, there are various TCM and Western medecine therapies in curring the peripheral facial paralysis.Western medicine to the most widely used glucocorticoid, and results are obvious.The most prominent effect of TCM is acupuncture. Appearance of the image after the impact due to illness, caused great physical and psychological suffering to patients, directly affecting the daily lives of patients. Therefore, how to quickly cure the peripheral facial paralysis needed to be solved for the clinical workers. In recent years, quite a lot of researchers in the treatment of peripheral facial paralysis by blood-letting therapy, there is also a separate application with the application. Most of the researchers selected the acute phase of intervention, which have received good effect, especially significant effect on advancing the curative effect of the disease. Based on the instructor's clinical researching of blood-letting therapy for many years, this topic is in order to optimize the treatment of this disease. As "blood-letting therapy" in acute peripheral facial paralysis applications, improving, the efficacy is superiority provide more clinical basis.ObjectivesThis study was aimed at observing the clinical curative effect of blood-letting therapy combined with convintion acupuncture in acute peripheral facial paralysis. Randomized controlled to be adopted to investigate the blood-letting therapy on the thorns of peripheral facial paralysis.MethodsAll cases were from Apirl 2010 to Apirl 2011 in Guangzhou University of Traditional Chinese Medicine First Affiliated Hospital outpatient acupuncture treatment peripheral facial paralysis patients. The patient which met the inclusion criteria were randomly divided into treatment and control groups, total of 60 cases. Both groups have oral prednisone film.The two groups respectively eveluated before treatment,1 course and 4 courses after treatment of facial nerve function scores (H-B score), and facial disability index (FDI score), calculated as the progress rate of efficacy evaluation, and finally with SPSS13.0 statistical data.Result1. Blood-letting and early intervention therapy for facial nerve function in patients with rapid recovery help, timely curative effect.2. The two groups before and after treatment record the H-B score, FDI physical function and social function score. From the H-B score, FDI score and total effective rate changes, found that facial nerve function and psychosocial function were significant improvement in both treatment group and control group(P<0.01)which shows blood-letting therapy and acupuncture both methods are valid.3. Through the distribution of the two groups to compare the clinical efficacy was found between the two groups was significant different (Z=-2.721, P=0.007<0.01). The treatment group recovered 7cases (23.34%), excellence 15 cases (50%), improved 4 cases (13.33%), ineffective 4 cases (13.33%). The control group recovered 2 cases (6.66%), excellence 9 cases (30%), improved 11 (36.67%), ineffective 8 cases (26.67%).The results show that the number of patients cured and excellence in treatment group is obviously more than the control group which indicats that the degree of recovery in patients with the treatment group are better than the control group.4. Comparison with effects on the two groups, treatment group with the wind-heat and wind-cold type were significant differences (Z=-2.376, P=0.018 <0.05). The wind-heat type 6 cases were recovered (33.3%),15 cases were markedly effective (55.6%) while the wind-cold type 11 cases were recovered (8.33%),5 cases were markedly effective (41.63%) which means the cases of recoverd and markedly effective of the wind-heat type are more than the wind-cold type. Wind-heat type of the control group with the cold wind type was no significant difference (Z=-1.96, P=0.844>0.05).The priamary efficacy ranged between markedly effective and effective. Method of treatment group shows that the blood-letting therapy on the wind-heat type of peripheral facial paralysis has better efficacy.Conclusion1. Blood-letting therapy combined with acupuncture and simple acupuncture treatment of peripheral facial paralysis in acute stage were both effective.2.In the recovery extent of patients with peripheral facial paralysis, the blood-letting therapy combined with acupuncture was better than simple acupuncture.3.Blood-letting therapy for the treatment of wind-heat type of peripheral facial paralysis effect better.