Clinical Control Study Of Neuromuscular Electro-acupuncture Therapy On Facial Neuritis

Objective According to the experience of the 301 Hospital acupuncture for treatment on facial neuritis(FN). based on the control study of 160 patients with facial paralysis between the Neuromuscular Electro-acupuncture(NMEA) therapy and traditional treatment, and to evaluate the reliability and validity of electroacupuncture(EA) stimulation on facial neuritis. providing clinical evidence such as the more direct selection, effective and economical evaluation and treatment plan for patients with facial paralysis.Methods 1. Acupuncture treatment,160 patients with facial paralysis is completely randomized method with the SPSS statistical software serial number, patients in clinic order corresponding to the number is divided into NMEA group (A) and traditional treatment group(B), each group of patients with 80 people. A group used the alternating bloodletting therapy(BLT) on the areas of Erjian (MA-H6) Wangu(GB12), Neier (MA6) in the first week. In 2-4 weeks, we choose five groups acupoints for treatment along the nerve muscle line and according to affected side of muscle area including Occipitofrontalis muscle (OFM), orbicularis oculi muscle(OOCM), levator labii superioris(LLS), Zygomatic muscle(ZM), orbicularis oris muscle(OORM) and Lower lip side muscle(LLSM). The main points include Yangbai(GB14)、Yangbai-side; Tongziliao(GB1)、Chengqi(ST1); Quanliao(SI18)、 Dicang(ST4); Yingxiang(LI2)、upper-Yingxiang; Jiachengjiang Chengjiang-side of affected side. The traditional treatment group oral hormone, nerve nutrition and improve blood circulation drugs in the first week. In 2-4 weeks, we select the acupoints according to The ninth edition of acupuncture and moxibustion to treatment. The main points include Yangbai(GB14)、Zanzhu (BL2)、 Sibai(ST2)、Quanliao(SI18)、Dicang(ST4)、Jiache(ST6)、Yifeng(SJ17)、Qianzheng, Taiyang of affected side. The two groups of patients were given the dilatational wave (DW) with 2～100 Hz alternating stimulated and retaining 30 minutes. Treatment time are one time a day and five days for a period of treatment, clinical effect was observed after 4 weeks after treatment.2. The reliability and validity of the evaluation method of EA facial neuritis:The EA evaluation method is adopted. When the EA stimulated the suffering side, we judge the degree of the facial nerve damage (mild, moderate, severe), and determine the prognosis (well, general, poor) according to the degree of facial expression muscle reaction. At the same time using electromyography(EMG) assessment method, it is Based on observation of EMG facial nerve damage degree to judge prognosis which one is completely damage, incomplete injury or no damage. The study compared the difference between the two methods of statement based on the above two kinds of appraisal results.Results 1. The results show that the symptoms of patients with facial paralysis in NMEA recovered quickly and completely, the cure rate is superior to the traditional group (P< 0.01), the effective rate is superior to the traditional group (P< 0.01).2. The evaluation results show that there is no difference between the two methods of evaluation of degree of injury of facial paralysis (P> 0.05) and the prognosis of judgment is consistent (P> 0.05).Conclusion 1.The NMEA to treat facial paralysis can obviously shorten the clinical course of patients with facial paralysis obviously and recover more fully, Which is better than the traditional solution treatment of facial paralysis. The NMEA can be used as a reference in the treatment of facial paralysis.2. EA stimulation and EMG evaluation method is reliability and validity in the evaluation of facial nerve injury. Because of its simple, effective, low cost, is worthy of clinical application.