The Clinical Observation On Wind Heat Type Idiophatic Facial Palsy By Medicated Thread Moxibustion Combined With Acupuncture Treatment

ObjectiveIn this study,through the observation of clinical efficacy of medicated thread moxibustion combined with acupuncture on wind-heat type idiopathic facial palsy,the evaluation of the efficacy objectively and provided the reference for the clinical application and promotion of the combination of medicated thread moxibustion and acupuncture in treatment of wind-heat type idiopathic facial palsy.MethodIn this study,total 60 volunteered patients were recruited from the out-patient acupuncture department of the NO.1 Affiliated Hospital of Guangzhou University of TCM in between the period from April 2016 to January 2018.The 60 patiens were randomly assigned into two groups which was the treatment group(with the combination of medicated thread moxibustion with acupuncture)and the control group(with only acupuncture)in the ratio of 1:1 which was 30 patients in each group.In the control group,the routine acupuncture treatment was used,with the main acupuncture point: Yangbai(GB14),Taiyang(EX-HN5),Cuanzhu(BL12),Quanliao(SI18),Qianzheng,Yingxiang(LI20),Dicang(ST4),Jiache(ST6),Jiachengjia(RN24),Yifeng(TE17),Zhongzhu(ST13),Hegu(LI4),adjunct acupuncture points: wind-heat type adding Quchi(LI11).In the early stage of the disease,light and shallow needing skills combined with electro acupuncture of dilatational wave were used for treatment.After two weeks of the treatment,strong and deep needing skills with reinforcing and reducing method was used.It takes 25-30 minutes for every treatment.During the treatment,while retaining the treatment,TDP localized ipsilateral irradiation was given for 30 minutes with the conditions of localized skin flush,warm feeling without scald as standard.In the treatment group,there was an additional medicated thread moxibustion treatment at the main acupuncture point of: Yangbai(GB14),Taiyang(EX-HN5),Cuanzhu(BL12),Quanliao(SI18),Qianzheng,Yingxiang(LI20),Dicang(ST4),Jiache(ST6),Jiachengjia(RN24),Yifeng(TE17),periocular(orbicular muscle of eye),Hegu(LI4),Quchi(LI11).Both the treatment of treatment group and control group was given every two days,3 times per week as 1 treatment course and a total 4 treatment courses will be given.All patients were evaluated before the first treatment and two weeks after the treatment respectively.The House Brackmann Facial Nerve Grading System(hereinafter referred as HB rating),therapeutic outcome rating scale of Peripheral Facial Neuritis(hereinafter referred to as Portmann scale)and facial disability index(FDI)were used as contact evaluation indicators to evaluate the efficacy of the each group therapeutic efficacy.After completed the data collection,SPSS 20.0 software was used for statistical analysis.ResultsIn my study,3 data collections were taken,which include before the treatment,2 weeks after the treatment and after the completion of treatment.The sets of data were marked as T1,T2 and T3 accordingly.The difference was statistically significant when P<0.05;1、In the comparison of the general data which included gender,age,course of disease,HB pre-treatment score,Portmann pre-treatment score,FDIP,FDIS pre-treatment score,there was no statistically significant difference as P>0.05,indicating that the two groups were comparable.2、The total effective rate of both groups were 90% and 83% respectively,there was no statistically significant difference as P >0.05 but it cannot be considered as the treatment group was better than the control group.3、In the HB rating,there was statistically significant difference between two groups at T2,P <0.05.There was no statistically significant difference between two groups at T3,P >0.05.There was statistically significant difference at the comparison within each group at T2 and T3,P <0.05.In others words,the improvement of HB rating at different time points for both group were effective.The treatment of treatment group was more effective compare to control group at T2,the time point of the transition of acute phase to recovery phase.But there was no statistically significant different between two groups on overall treatment.4、In Portmann score,there was statistically significant difference between T2 and T3 within the group,P <0.05.For time x group,there was statistically significant difference,P >0.05,indicated that the time node do not vary with the group.According the analysis of variance of trouping,there was no statistically significant difference between treatment group and control group,P >0.05.In the comparison of the time node within each group,there was statistically significant different in between treatment group and control group at T2,P <0.05.But there was no statistically significant difference in between two groups at T3,P >0.05.As conclusion,both group treatments were effective at different time node.Treatment of treatment group was more effective than control group at T2,which was the transition of acute phase to recovery phase.But there was no significant difference in between two groups at overall treatment.5、In FDIP score,by repeating measures analysis of variance,there was statistically significant difference in between T2 and T3,P <0.05.For time x group,P>0.05,indicating that time nodes do not vary with grouping.According to analysis of variance of grouping,there was no statistically significant difference in between treatment group and control group,P >0.05.For the comparison of the time nodes between two groups,there was no statistically significant difference between the treatment group and control group,P >0.05.But at T3,there was statistically significant difference,P 0.05.T3 which was the transition of acute phase to recovery phase,both treatment group and control group treatment were effective.But there was significant difference between the overall treatments of the two groups.In FDIS score,there was statistically significant difference between T2 and T3 within the group time nodes,P <0.05;There was statistically significant difference in between treatment group and control group,P<0.05;In the comparison in between the time nodes T2 and T3 within each group,there was no statistically significant difference,P >0.05.In other words,both treatment group and control group treatment were effective at different time nodes,but it cannot be explained that treatment group treatment was more effective than control group.Conclusion1、Both medicated thread moxibustion combined with acupuncture andgeneral acupuncture treatments were effective for wind-heat type idiopathic facial palsy.2、Both groups were effective at overall treatment of wind-heat type idiopathic facial palsy.But in Portmann score,treatment group was superior than the control group in improving the acute phase to stationary transitional period.