| Purpose According to Zhang Peilin’s experience in treating facial paralysis,the clinical effects of local superficial needling on the affected side based on Shaoyang Meridian and conventional needling in treating acute stage of Bell’s Palsy with wind-heat syndrome were compared and observed,and the best treatment scheme for acute stage of facial paralysis with wind-heat syndrome was screened out,which provides basis for optimization of clinical therapy.Method Seventy-two patients who met the inclusion criteria were collected and randomly divided into two groups according to the principle of single blindness: The treatment group(36 cases)and the conventional acupuncture group(36 cases).Oral medicines were added to the two groups at the same time.Combined with the clinical symptoms and signs of the patients,the curative effect was evaluated before treatment(admission and treatment day),after 7 times of treatment,14 times of treatment and 21 times of treatment according to H-B facial nerve function evaluation classification standard and facial nerve injury scoring standard.Results1.Case situation: During the treatment of 72 patients collected,3 cases fell off,including 2cases in the control group and 1 case in the treatment group.The remaining 69 patients completed all the treatment,35 cases in the treatment group and 34 cases in the control group.2.Baseline data: The number of cases,sex,age,course of disease on the day of treatment,facial injury score and H-B grade of the two groups were compared between the two groups,P> 0.05,suggesting that the difference was insignificant and the two groups were comparable.3.Facial nerve injury score(1)Intra-group comparison after 7 times of treatment: After 7 times of treatment,the facial injury scores of the two groups were significantly different from those on the day of treatment(P<0.01),which suggests that the two therapies had obvious improvement in facial injury scores of patients.(2)Comparison among groups after 7 times of treatment: There was no significant difference in facial injury scores between the two groups(P=0.054>0.05),which suggests that after 7 times of treatment.There was no significant difference in facial injury scores between the two groups.(3)Comparison among groups after 14 times of treatment: There was significant difference in facial score between the two groups(P=0.032 < 0.05),which suggests that the improvement of facial injury score in the treatment group was better than that in the control group.(4)Comparison among groups after 21 times of treatment: There was significant difference in facial score between the two groups(P=0.018 < 0.05),which suggests that the treatment group was better in improving facial injury score.4.H-B functional classification(1)Intra-group comparison after 7 times of treatment: After 7 times of treatment,the difference between the two groups and the H-B grade on the day of treatment in this group was extremely significant(P<0.01),which suggests that both therapies can significantly improve the H-B grade of patients.(2)Comparison among groups after 7 times of treatment: There was no significant difference in H-B grade between the two groups(P=0.119 > 0.05),which suggests that there was no significant difference in improvement degree of H-B grade between the two therapies.(3)Comparison among groups after 14 times of treatment: There was significant difference in H-B grade between the two groups(P=0.041<0.05),which suggests that the improvement of H-B grade in the treatment group was better than that in the control group after 14 times of treatment.(4)Comparison among groups after 21 times of treatment: There was significant difference in H-B grade between the two groups(P= 0.025 < 0.05),which suggests that the treatment group was better than the control group in improving H-B grade.5.Comparison of curative effects:(1)After 7 times of treatment,no one in the two groups was cured.The cure rate was 0;The more obvious rate was 17.1% in the treatment group and 11.8% in the control group.There was no significant difference between the two groups(P= 0.119>0.05);It is suggested that some patients can obtain different degrees of curative effect after 7 times of treatment,but there is no significant difference between the two groups.(2)After 14 times of treatment.The cure rate was 17.1% in the treatment group.The control group reached 8.8%.The more obvious rate: 80% in the treatment group;The control group reached 55.9%.There was significant difference between the two groups(P=0.041<0.05);It is suggested that after 14 times of treatment,both therapies can make a few patients recover.However,the therapeutic effect in the treatment group is more obvious.(3)After 21 times of treatment,28 people in the treatment group were cured and 6people were markedly effective.In the control group,19 people were cured and 10 people were markedly effective.The total effective rate was 100% in both groups,and the cure rate was 80% in the treatment group.The control group reached 55.9%.The more obvious rate was 97.1% in the treatment group.The control group reached 85.3%.There was significant difference between the two groups(P= 0.025 < 0.05);It is suggested that after 21 times of treatment,both groups can achieve all curative effects,but the cure rate of the treatment group is higher than that of the control group,and the curative effect is better.Conclusion1.Local superficial needling on the affected side combined with Zhang Peilin’s Shaoyang Meridian-based experience acupoint selection therapy and conventional acupuncture therapy for the acute stage of Bell’s Palsy with wind-heat syndrome can improve the facial nerve injury score and classification of patients and improve the facial nerve movement and contraction function.2.In the acute stage of Bell’s Palsy with wind-heat syndrome,local superficial acupuncture on the affected side combined with Zhang Peilin’s experience in selecting points through Shaoyang Meridian is better than conventional acupuncture,which can improve the recovery rate and shorten the time required for facial nerve function rehabilitation. |
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