Clinical Research On Contralateral Collateral Needling With Cervical Jiaji Point Treating For Primary Hemifacial Spasm

Objective:To observe the clinical efficacy of Contralateral collateral needling with Cervical Jiaji point in the treatment of primary hemifacial spasm,and to compare the clinical efficacy between the two groups by setting up conventional acupuncture as the control group,and to provide reference for optimizing the clinical treatment scheme of primary hemifacial spasm.Methods:72 patients with primary hemifacial spasm were randomly divided into treatment group and control group,each group has 36 patients,the treatment group was treated with Conventional acupuncture and Contralateral collateral needling,alternately +cervical jiaji points,while the control group was treated with conventional acupuncture once every other day,10 times as a course of treatment,and 3 courses of treatment were treated with statistical methods before treatment,after the end of the first course of treatment,the end of the second course of treatment and the end of the third course of treatment.Result:1.Before treatment(the first assessment):(1)The age,syndrome type and course of disease of the patients in the treatment group and the control group were compared,both P > 0.05,the difference was not statistically significant and comparable.(2)The spasticity intensity and frequency of the treatment group and the control group were compared before treatment,both P>0.05,the difference was not statistically significant and comparable.2.The end of the first course of treatment(the second assessment):(1)intra-group comparison: at the end of the first course of treatment,the spasticity intensity and spasticity frequency of the treatment group and the control group were compared with those before treatment,both P<0.05.the difference was statistically significant,indicating that the intensity and frequency of hemifacial spasm were improved in both groups.(2)Comparison between the two groups: at the end of the first course of treatment,the spasticity intensity and spasticity frequency of the treatment group and the control group were classified and compared,both P > 0.05,the difference was not statistically significant,indicating that the two groups of treatment at the end of the first course of treatment had no significant difference in improving the intensity and frequency of hemifacial spasm.3.The end of the second course of treatment(the third assessment):At the end of the second course of treatment,the spasm intensity and frequency of the treatment group and the control group were compared,respectively,both P<0.05,the difference was statistically significant,it can be considered that the spasticity intensity and spasticity frequency at the end of the second course of treatment between the two groups were different,and the treatment group was better than the control group.4.The end of the third course of treatment(the fourth assessment):(1)Comparison between the two groups: at the end of the third course of treatment,the spasticity intensity and spasticity frequency of the treatment group and the control group were compared,respectively,both P < 0.05,the results showed that the spasticity intensity and spasticity frequency were different between the two groups at the end of the third course of treatment,and the treatment group was better than the control group.(2)Overall curative effect comparison: 36 patients in the treatment group dropped 3cases,complete treatment of 33 cases,including 7 cases cured,16 cases markedly effective,7 cases effective,3 cases ineffective,the total effective rate of 90.90%;Control group 36 patients dropped 4 cases,complete treatment of 32 cases,including4 cases cured,10 cases markedly effective,12 cases effective,6 cases ineffective,the total effective rate of 81.25%.The total effective rate of the two groups was P<0.05,the difference was statistically significant.The results showed that the two groups had better curative effect on improving the spasm intensity and frequency of hemifacial spasm after the treatment,and the curative effect of the treatment group was better than that of the control group.(3)Analysis of curative effect according to course of disease distribution: the treatment group and the control group were compared according to course of disease distribution,the treatment group P<0.05,the control group P<0.05,the difference was statistically significant,indicating that the shorter the course of disease treatment,the better the curative effect.5.Follow-up results: within 3 months after the end of the treatment by telephone follow-up cured patients,treatment group cured 7 patients,mild recurrence of 1 cases,the control group cured 4 patients,mild recurrence of 1 case.Conclusion:1.The treatment group(conventional acupuncture and Contralateral collateral needling,alternately + cervical jiaji points)and the control group(conventional acupuncture)in the treatment of primary facial spasm Exterior wind and Cold syndrome,Yin deficiency and Interior wind syndrome are effective,and the treatment group is better than the control group.2.The spasticity intensity and frequency of facial spasm in the treatment group(conventional acupuncture and Contralateral collateral needling,alternately + cervical jiaji points)and the control group(conventional acupuncture)were improved,and the treatment group was better than the control group.3.The shorter the course of treatment of primary hemifacial spasm,the better the curative effect.4.Conventional acupuncture and Contralateral collateral needling,alternately +cervical jiaji points is a better method for the treatment of primary hemifacial spasm,which has a certain clinical value.