Clinical Research On Herbal Patch Combined With Acupuncture Treating Lopathic Facial Palsy

Objection:The objection is to observe the clinical efficacy of point application therapy combined with acupuncture treatment for idiopathic facial paralysis (IFP), and to discuss the possible mechanism of this method of treatment .Therefore this study may help to explore a more effective way to treat idiopathic facial paralysis.Methods:60 cases of idiopathic facial paralysis (IFP) patients meeting the diagnostic criteria and the inclusion criteria were randomly divided into 2 groups. The test group was treated by point application therapy combined with acupuncture treatment. The contrast group was treated by simple acupuncture therapy. Two groups of patients were treated three times per week and the treatments lasted for 4 consecutive weeks. The clinical efficacy was assessed by H-B ratings and FDI questionnaire before and after the treatment.Results:The baseline characteristics of the two groups before treatment were compared by statistical analysis and the baseline date were comparable (P> 0.05). Clinical efficacy comparison of the two groups after treatment: ①the test group:16 cured cases,13 improved cases,1 effective case,0 ineffective cases, and the markedly effective rate was 96.67%. ②the contrast group:7 cured cases,9 improved cases,13 effective cases,1 ineffective case, and the markedly effective rate was 53.33%. The difference was statistically significant (P<0.05). Therefore the efficacy of test group is better than the contrast group. Comparison of H-B score before and after treatment:After treatment, the H-B scores of the two groups were significantly lower than before. The difference was statistically significant (P<0.01). ①the test group:the H-B score was significantly reduced after treatment, and the difference was statistically significant (P<0.01). ②the contrast group:the H-B score was significantly reduced after treatment, and the difference was statistically significant (P<0.05). The H-B score of the test group was lower than the contrast group, the difference was statistically significant (P <0.05). This suggests that both two method of treatments can help reduce patients’H-B ratings, but point application therapy combined with acupuncture treatment is more efficient. Comparison of Facial Disability Index (FDI) scores before and after treatment:after 4 weeks, the FDI ratings were improved in both groups, but the test group was more efficient than the contrast group, and the difference was statistically significant (P<0.01). According to the FDI scores, it is point application therapy combined with acupuncture treatment that can improve facial physical function much better than simple acupuncture treatment.Conclusion:Point application therapy combined with acupuncture treatment can help the patients’ facial nerve function to be significantly restored. Its clinical efficacy is better than simple acupuncture therapy. This method of treatment has advantages of shorter course and higher cure rate. So as a clinical therapy, it may be an effective method for treating idiopathic facial paralysis.