Shen Jie With Acupuncture Treatment Of Acute Peripheral Facial Paralysis (cold Type) Clinical Efficacy

Objective: The subject observes the clinical curative effect of Shen Jieinjection combined with acupuncture and traditional Chinese medicine fortreatment in acute peripheral facial paralysis, using House-Brackmann gradingscale which was widely used international to carry on relative scientific andobjective evaluation for its efficacy and recovery of facial nerve function,so as to provide a reliable basis for the clinical treatment of the method andguiding principles.Materials and methods: Select60patients from September2012to January2013in Liaoning University of Traditional Chinese Medicine Affi1iated HospitalEncephalopathy K1Branch outpatient treatment. The Patient which met thediagnostic criteria were randomly divided into control group30cases and thetreatment group30cases. The control group was given acupuncture and traditionalChinese medicine treatment for20days. Acupuncture facial acupuncture point、Contralateral Heku and Ipsilateral zulinqi once a day. Reinforcing-reducingneedle retention for20minutes. traditional Chinese medicine treatment withfacial paralysis soup: Wuyao20g、Baizhu15g、Baizhi15g、Mugua15g、Jiangcan10g、Chenxiang10g、Qingpi10g、 Zisuye10g、Dangshen15g、Zhibaifuzi20g、Tianma20g、Zhigancao10g.Decoction was taken100ml twice a day. The treatment group basedon acupuncture and traditional Chinese medicine treatment, uses Shen Jie (itscommon name is Monosialotetrahexosyl ganglioside(GM1)), which was used2ml (40mg)combined with0.9%saline150ml once a day, continuous infusion for7days,continuing treatment with acupuncture and Chinese medicine treatment after7days for20days. Observe the clinical efficacy and the relationship of relevantindicators between the two groups of patients, compare with treatment efficacyin the eight day of the course of disease and after finishing the course oftreatment, determine classification of House-Brackmamn facial nerve function of preliminary diagnosis, the eighth day of the course of the treatment and theend of the course of treatment.Results: There were no differences in gender, age, condition, average age,duration of aspects. In terms of efficacy, the older have poor efficacy; In theeight day of the course of disease, the total effective rate of the treatmentgroup met to70%, while the total effective rate of the control group met to50%, the treatment group was better than the control group, there was asignificant difference (P<0.05).After finishing the course of treatment, thetotal effective rate of the treatment group met to100%, while the total effectiverate of the control group met to83%, the treatment group was better than thecontrol group, there was a statistically significant difference (P<0.01).Grading determination of the House-Brackmamn facial nerve function, inthe treatment group comparison: the eight day of the course of treatment comparedwith before treatment(P <0.01), and finishing the course of treatment comparedwith the eight day of the course of treatment (P <0.01), there was a statisticallysignificant difference; In controls group comparison group: the eight day ofthe course of treatment compared with before treatment(P>0.05), there was nosignificant difference, finishing the course of treatment compared with theeight day of the course of treatment(P <0.01), there was a statisticallysignificant difference; In each group: the treatment group compared with thecontrol group before treatment（P>0.05）, there was no significantdifference; In the eight day of the course of disease and after finishing thecourse of treatment，the treatment group compared with the control group(P <0.01),there was a statistically significant difference.Conclusion:1Acupuncture and traditional Chinese medicine and Shen Jie injection combinedwith them for treatment have better efficacy in acute peripheral facialparalysis.2Acupuncture and traditional Chinese medicine treatment of peripheral facial paralysis promote circulation qi and blood, removal wind、cold and sputum,dredge meridian, and improve the function of the facial microcirculation.3Shen Jie injection Significantly improve the total efficacy and the functionof the facial nerve of facial paralysis patients in acute peripheral facialparalysis.