Clinical Study Of Acupuncture Combined With Pricking Blood For Treating Sequela Of Bell’s Palsy With Blood Stasis

Purpose By observing and comparing the clinical efficacy of the treatment group(routine acupuncture and blood pricking method)and the control group(routine acupuncture),we searched for a superior therapy for the sequela of BP with blood stasis,and provided reference for the further optimization of clinical treatment plan.MethodsSeventy patients who met the diagnostic criteria were divided into treatment group:pricking blood(oral mucosa + facial bloodletting and Baishu point bloodletting alternatively)and control group: routine acupuncture according to random number table method.There were 35 cases in both groups.According to the face and House-Brachmann facial nerve function damage degree scale evaluation classification system(referred to as H-B),respectively in treating precancerous(doctor)on the day,the mid treatment(3 weeks,7 weeks)treatment,treatment late for 11 weeks,the clinical curative effect of observation and evaluation,after the completion of the statistical analysis by SPSS 20.0.Results1.Case completion: the 70 cases that met the diagnostic criteria were divided into the treatment group and the control group with 35 cases in each according to the random number table method.Due to the patients’ own reasons,3 cases fell off from the treatment group and 4 cases from the control group respectively.In the end,32 cases in the treatment group actually completed,while 31 cases in the control group actually completed.The two groups actually completed a total of 63 cases.2.Comparison of baseline data: the cases of abscission,gender,age distribution,duration of disease,degree of facial injury,and patients’ H-B grading in the two groups were analyzed on the day of admission(P>0.05),The difference wasn’t obvious.indicating comparability.3.Comparison between the two groups at 3 weeks of treatment3.1 intra-group comparison3.1.1 The facial injury results of the control and treatment group on the day of admission and at 3 weeks of treatment presented normal distribution.Through the t test,the treatment group t=8.810,P=0.000(P<0.01);Control group t=5.706,P=0.000(P<0.01).The difference has statistically meaning.Indicating that both the treatment group and the control group were effective in improving facial injury scores after 3 weeks of treatment.3.1.2 By rank sum test,the treatment group: Z=-4.123,P=0.000(P<0.01);Control group:Z=-2.000,P=0.046(P<0.05).The difference was obvious.Indicating that at 3 weeks of treatment,both groups had improved in terms of H-B grade.3.2Comparison between groups3.2.1Facial injury: through t test,t=-2.075,P=0.042(P<0.05).The difference was obvious.The results showed that the treatment group was superior in terms of reducing the degree of facial injury after 3 weeks of treatment.3.2.2 H-B grading: Through the rank sum test,Z=-2.001,P=0.045(P<0.05).The difference was obvious.This indicates that at 3 weeks of treatment,H-B grade of the treatment group improved more.3.2.3 Efficacy: Through the rank sum test,Z=-1.999,P=0.046(P<0.05).Difference has statistical meaning.It indicated that the curative effect of the treatment group was better after 3 weeks of treatment.4.Comparison between the two groups at 7 weeks of treatment4.1Facial injury: The facial injury scores of both the treatment group and the control group presented normal distribution.Through t test,t=-3.115,P=0.003(P<0.01).The difference was obvious.The results showed facial injury’s improvement of treatment group was significantly better at 7 weeks of treatment.4.2H-B grading: Through the rank sum test,Z=-2.617,P=0.009(P<0.01).The difference was obvious.It indicated that at 7 weeks of treatment,H-B grade’s improvement of treatment group was better.4.3Efficacy: Through the rank sum test,Z=-2.591,P=0.010(P<0.05).Statistically significant was difference.It indicated that the treatment group’s curative effect was better at 7 weeks of treatment.5.Comparison between the two groups at 11 weeks of treatment5.1Facial injury: The facial scores of both the treatment group and the control group were normally distributed.Through T test,T =-5.702,P=0.000(P<0.01).The difference was obvious.This indicates that at 11 weeks of treatment,facial injury’s improvement of treatment group was superior.5.2H-B grading: Through the rank sum test,Z=-3.087,P=0.002(P<0.01).The difference was obvious.It indicated that at 11 weeks of treatment,H-B grade’s improvement of treatment group was significantly better.5.3 Efficacy: in the treatment group,15 cases were cured,10 cases were significantly effective,6 cases were effective,and 1 case was ineffective,effective rate is 96.88%;In the control group,5 cases were cured,9 cases showed obvious effect,12 cases were effective,and 5 cases were ineffective,effective rate is 83.87%.By rank sum test,Z=-3.087,P=0.002(P<0.01),the difference was statistically significant.It indicated that the curative effect of the treatment group was significantly better than that of the control group at 11 weeks of treatment.Conclusion1.In terms of improving facial injury and restoring facial nerve function,conventional acupuncture combined with blood pricking(treatment group)and conventional acupuncture therapy(control group)in the treatment of sequelae of blood-stasis BP were both improved.2.Blood stasis type BP sequelae stage,on the basis of conventional acupuncture using oral mucosa and facial blood letting combined with Bei Shu point blood letting treatment method,its clinical efficacy is significantly better than conventional acupuncture,and can shorten the treatment time,can better promote facial rehabilitation,improve the patient’s confidence.