The Clinical Synergy Effect Study To The Three Kinds Of Acupuncture Methods For Hemifacial Spasm Treatment

Purpose:Compare the hemifacial spasm clinical curative effect of the treatment group(conventional acupuncture+scalp-acupuncture therapy+fire needle)with control group(conventional acupuncture plus scalp-acupuncture therapy),in order to provide a synergistic treatment method for clinical treatment.Methods:72 patients that meet standard were divided by the method of digital grouping.The treatment group collects 36 cases: conventional acupuncture +scalp-acupuncture therapy+fire needle therapy and the control group collects 36 cases:conventional acupuncture plus scalp-acupuncture therapy method.both of which are treated once a day. One period of treatment includes 10 times and the whole treatment includes three periods.The curative effect evaluation of the two group’s hemifacial spasm(Cohen Spasm strength classification), change of frequency(Penn Seizure frequency hierarchical) and total effective rate observation are made at the time when the treatment begins,when the first treatment period is finished and when the whole courses are completed.Results:1.Before treatment(the first assessment) the both groups of patients in age,duration of disease,spasm strength and seizure frequency, as there was no significant difference(P> 0.05) and comparable.2.At the end of the first course of treatment(treatment tenth times,the second assessment):(1)intra-group comparison:The treatment group and the control group at the end of the first treatment of patients with spasm strength and seizure frequency compared with before treatment,there was a significant difference,respectively,P<0.01, P<0.05.To indicate that the two groups showed that the treatment was effective in improving the intensity and frequency;(2)Compared with the spasm strength and seizure frequency between two groups, there was no statistically significance(P>0.05)to indicate that in relieve spasm intensity and frequency between the treatment group and the control group which had no significant difference in the end of the first course of treatment.3.At the end of the last course of treatment(treatment thirtieth times,the third assessment):(1)intra-group comparison: The treatment group and the control group at the end of the third treatment of patients with spasm strength and seizure frequency compared with before treatment,there was a significant difference,are P<0.01.To indicate that the two groups showed that the treatment was effective in improving the intensity and frequency;(2)Compared with the spasm strength and seizure frequency between two groups, There was significant difference(P<0.05). Third treatment group at the end of the treatment group was superior to the control group in the degree of the intensity and frequency of spasm and the rate of decline.4.Comparison of total therapeutic effect after the end of treatment:In the treatment group, 36 cases were lost in 5 cases, a total of 31 cases complete treatment, 9 cases were cured, 8 cases were markedly effective, 3 cases were effective,11 cases were ineffective, the total effective rate was 90.32%; In the control group, 36 cases were lost in 6 cases, a total of 30 cases completed treatment, 5 cases were cured,5 cases were markedly effective, 14 cases were effective, 6 cases were ineffective, the total effective rate was 80%. Comparison of curative effect between the two groups P<0.05, there is significant differences, indicating that the curative effect of the treatment group are better than the control group.5.From the course of the distribution of curative effect analysis:To two groups, respectively, according to the course of the distribution of curative effect comparison,all are P< 0.05, there is significant differences, indicating that the shorter the course of disease is, the higher the efficiency is.6.follow-up results:During the 3 months after the end of the course of treatment, two groups of patients were cured by telephone follow-up, 11 patients in the treatment group were cured, 1 patients had mild recurrence; the control group of 5 patients recovered in 2 patients with moderate recurrence.Conclusion:The study shows that Treatment group(conventional acupuncture+scalp-acupuncture + fire needle) : the total effective rate were better than control group(conventional acupuncture plus scalp-acupuncture) in reducing spasm intensity level of frequency.The change of symptoms and signs of treatment group appear earlier than the control group in reducing convulsion intensity and frequency drops.The treatment group has better curative effect to treat the syndrome of exterior wind and cold as well as yin deficiency and interior wind syndrome in the hemifacial spasm.It can be applied to future clinical practice.