Clinical Research About Temporal Three-needle Combined With Xiaoxinnao Kaiqiao Treating For Primary Hemifacial Spasm

Objective:Observing the clinical effect of the treatment group(conventional acupuncture + temporal three-needle + Xiaoxinnao Kaiqiao)and the control group(conventional acupuncture)in the treatment of primary hemifacial spasm in order to find a more effective therapy for the patients.Methods: 70 patients were randomly divided into treatment group(body needle + temporal three-needle + Xiaoxinnao Kaiqiao)and the control group(conventional acupuncture),each group has 35 patients.Each group was treated every other day,10 times as a course of treatment,after each course,the facial spasm strength(Cohen grading),frequency(Penn grade)changes of two groups were evaluated and analyzed by the use of statistical methods.Results:1.Before treatment Before treatment,the age,syndromes,duration and other basic data of the two groups of patients were compared,the items were P> 0.05,the difference was not statistically significant,the two groups of patients with data comparable.There was no significant difference between the two groups in the degree of spasticity and frequency grading before treatment,P> 0.05,the difference was not statistically significant,the two groups of patients with comparable.2.During treatment:(1)the end of the first course of treatment: The frequency of spasticity and frequency of the treatment group at the end of the first course of treatment were compared with those before treatment,all P <0.05,The difference was statistically significant,indicating that the treatment group of treatment of spastic strength,frequency improvement is more obvious.The intensity and frequency of spasticity were significantly lower in the control group than in the first course of treatment(P <0.05)The difference was statistically significant,indicating that the control group of treatment of spastic strength,frequency improved.There was no significant difference between the two groups(P> 0.05).Indicating that the treatment group and the control group of the respective treatment at the end of the first course of treatment to relieve the degree of spastic strength and frequency of no significant difference.(2)the end of the second course of treatment: At the end of the second course,the intensity and frequency of the two groups were compared,all P <0.05,the difference was statistically significant.Indicating that the treatment group and the control group of the respective treatment at the end of the second course of treatment to relieve the degree of spastic strength and frequency differences,the treatment group than the control group.3.End of treatment:(1)comparison between groups: At the end of the three courses,the intensity and frequency of the two groups were compared,all P <0.05,the difference was statistically significant.The results showed that the two groups of treatment can significantly reduce the intensity and frequency of hemifacial spasm,and the spasticity and frequency of the treatment group were significantly better than the control group.(2)overall efficacy comparison: In the treatment group,35 patients were sacrificed in 4 cases,and 31 patients were treated.Among them,13 cases were cured,12 cases were effective,3 cases were effective,3 cases were ineffective,the total effective rate was 90.32%;35 cases in the control group lost 5 cases,30 cases,of which 6 cases were cured,markedly effective in 8 cases,effective in 10 cases,ineffective in 6 cases,the total effective rate was 80.0%.The total effective rate of the two groups P <0.05,the difference was statistically significant,indicating that the two groups after treatment have a good effect,the treatment group was significantly better than the control group,facial muscle spasm strength,frequency has been significantly improved The (3)the course of the distribution of efficacy analysis: The treatment group and the control group were compared with the course of the disease,the treatment group P <0.01,the difference was statistically significant;control group P <0.05,the difference was statistically significant.Indicating that the shorter the duration of the disease the better.4.Follow-up results: The end of treatment after 3 months of telephone follow-up patients recovered,the treatment group recovered 13 cases,mild recurrence in 4 cases.The control group was cured in 6 cases,mild recurrence in 3 cases,no exception.Conclusion:1.The therapy of the Temporal Three-needle combined with Xiaoxinnao Kaiqiao Treating for Primary Hemifacial Spasm is effective,and the effect is better than conventional acupuncture;2.The shorter the course of primary Hemifacial spasm,the better the effect of treatment.