Clinical Observation Of Cluster Scalp Acupuncture Combined With Nmes In The Treatment Of Post-Stroke Central Facial Paralysis

Objective:Clinical Evaluation of Cluster Scalp Acupuncture combined with NMES therapy after stroke central facial paralysis.Methods:The random number table,40 cases met the inclusion criteria central facial paralysis after stroke were randomly divided into a treatment group and a control group,20 patients were given the same basic treatment, control group was given NMES therapy; treatment group preclude the use of cluster needling of scalp point combined with NMES treatment,4w. Before and after treatment using clinical efficacy House-Brackmann scale and surface electromyography analysis and evaluation of the two methods.Results:1,sEMG Analysis:Two groups of patients H-B of the facial nerve function assessment, the difference was not statistically significant (P> 0.05); H-B after treatment of facial nerve function assessment compared with before treatment, the differences were statistically significant (P<0.05). After treatment, H-B of the facial nerve function assessment increase than the control group, the difference was statistically significant (P<0.05). Two groups of patients before treatment H-B scoring, the difference was not statistically significant (P> 0.05); after treatment than before treatment, H-B scoring lower, the difference was statistically significant (P<0.01). After treatment, H-B scored lower than the control group, a significant difference (P<0.05) differences in the treatment group, the total efficiency of 95%.2,H-B rating scale:Before treatment, the nasal muscle, orbicularis muscle, cheek muscles RMS average value ratio, the difference was not statistically significant (P> 0.05); After treatment of nasal muscle, orbicularis muscle, cheek muscles RMS average value ratio compared with before treatment were statistically significant (P<0.01); nasalis, orbicularis muscle, cheek muscles RMS average of the ratio of the difference between the treatment group was higher in the control group before and after treatment were significantly different (P<0.05). Treatment muscle groups three groups, the difference was not statistically significant (P> 0.05); the control group of three muscle groups, the difference was statistically significant (P<0.05); nasal muscle and orbicularis muscle difference was statistically significant (P <0.05), nose and cheek muscles muscular difference was statistically significant (P<0.05), orbicularis muscle and the cheek muscles, the difference was not statistically significant (P> 0.05).Conclusion:1. Cluster Scalp Acupuncture combined NMES NMES can be adjusted with the nose muscles, orbicularis muscle, cheek muscle neuromuscular electrical activity, and the Cluster Scalp Acupuncture combined with superior NMES NMES.2.Cluster Scalp Acupuncture combined with NMES and NMES therapy to treat both central facial paralysis after stroke, but Cluster Scalp Acupuncture combined with NMES therapy is superior to NMES therapy.