| Objectives By observing the clinical effect of wind three acupuncture(WTA)staged treatment on peripheral facial paralysis with wind cold type,House-Brackmann facial nerve grading,facial disability index score and traditional chinese medicine(TCM)syndrome score were compared to provide clinical basis for the treatment of WTA staged treatment on peripheral facial paralysis with wind cold type.Methods This study collected 106 patients with peripheral facial paralysis who met the inclusion criteria from June 2020 to December 2021 in the outpatient and inpatient department of Luanzhou People’s Hospital of Tangshan City,Hebei Province.They were randomly divided into treatment group(WTA treatment)and control group(western medicine treatment),fifty-three cases in each group.Treatment group was given acupuncture treatment on affected side of face.Acute period(within a week)acupoints: Fengchi(GB20),Fengfu(GV16),Yifeng(SJ 17),Yangbai(GB14),Sibai(ST2),Quanliao(SI18),Jiache(ST6),Dicang(ST4),Hegu(Healthy,LI 4).No ferformed acupuncture on the face in acute stage,and Hegu was needled with fast and large angle twisting method.Recovery period acupoints:Fengchi,Fengfu,Yifeng,Yangbai,Sibai,Quanliao,Jiache,Dicang,Yintang(GV29),Taiyang(EX-HN5),Yingxiang(LI20),Hegu(Healthy).In the recovery period,each acupoint of the face was needled once in a small-amplitude lifting and twisting at 15 min,mild reinforcing and attenuating,to arrival of qi as the degree.And the operation of Hegu is the same.The control group was treated with oral prednisone acetate tablets 50 mg,once a day,for 5 consecutive days,and then decreased by 10 mg daily for 10 days.acyclovir tablets0.4 g,3 times a day,10 days;mecobalamin tablets 0.5 mg,3 times a day,20 days.The H-B grading,FDI score,TCM syndrome score were used to statistically analyze and compare the efficacy of the two groups in the treatment on peripheral facial paralysis with wind cold type before treatment,on the 10 th and 20 th days.Results1 This clinical trial included 106 patients,including 4 shedding cases,2 cases in the treatment group and 2 cases in the control group.102 cases were collected.2 Before treatment,there was no significant difference in gender,age,course of disease,affected side,H-B,FDIP,FDIS and TCM syndrome score(P>0.05).3 After treatment,H-B score results: Treatment group before treatment 35.764 ± 4.688,the tenth day 64.019 ± 7.742,the twentieth day 86.078 ± 9.773;the control group before treatment 36.725 ± 6.216,the tenth day 47.313 ± 6.880,the twentieth day 80.745 ± 10.337.The interaction between time and group was significant(P<0.05).The simple effect test results of group: before treatment,the difference was not significant(P>0.05);but on the tenth day and twentieth day,the difference was significant(P<0.05).The simple effect test results of time: Under acupuncture treatment,the difference was significant(P<0.05);under the treatment of western medicine,the difference was significant(P<0.05).4 After treatment,FDIP score results: Treatment group before treatment 15.607 ± 2.891,the tenth day 16.392 ± 3.376,the twentieth day 19.862 ± 3.405;the control group before treatment 15.862 ± 2.792,the tenth day 17.647 ± 2.831,the twentieth day 17.843 ± 3.796.The interaction between time and group was significant(P<0.05).The simple effect test results of group: before treatment and the tenth day,the difference was not significant(P>0.05);but on the twentieth day,the difference was significant(P<0.05).The simple effect test results of time: Under acupuncture treatment,the difference was significant(P<0.05);under the treatment of western medicine,the difference was significant(P<0.05).5 After treatment,FDIS score results: The treatment group before treatment 18.451 ±6.824,the tenth day 11.294 ± 4.948,the twentieth day 10.078 ± 3.167;the control group before treatment 18.509 ± 6.949,the tenth day 14.705 ± 6.622,the twentieth day 12.215 ±4.182.The interaction between time and group was significant(P<0.05).The simple effect test results of group: before treatment,the difference was not significant(P>0.05);but on the tenth day and twentieth day,the difference was significant(P<0.05).The simple effect test results of time: Under acupuncture treatment,the difference was significant(P<0.05);under the treatment of western medicine,the difference was significant(P<0.05).6 After treatment,TCM syndrome score results: There were significant differences in the angle of mouth deviation,frontal muscle movement,nasolabial groove depth,nasal shrug movement,parotid air leakage and food retention(P<0.05);there was no significant difference in eyelid opening and closing,cervical latissimus contraction function and taste disorder(P≥0.05).The difference in the total score of TCM syndrome was significant(P<0.05).7 The total effective rate of the two groups was 98.04% in the WTA group and 92.16%in the western medicine group,the difference was statistically significant(P<0.05).Conclusions1 Both WTA staged treatment and Western medicine treatment can effectively treat peripheral facial paralysis patients with wind cold type,and both of them can promote the recovery of facial nerve function,body function and social life function.2 The curative effect of WTA staged treatment on peripheral facial paralysis patients with wind cold type is better than Western medicine in promoting the recovery of facial nerve function,body function,social life function and improving TCM syndrome,therefore WTA staged treatment is more suitable for clinical application.Figure 3;Table 10;Reference 105... |
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