| Objective:1.The H-B score and facial disability index were evaluated before and after treatment,and then the clinical effect of "Banba plaster" on the acute stage of Bell's facial paralysis was observed.To provide the basis for clinical application.2.To monitor the skin irritation intensity after "Banba ointment" acupoint application,and to explore the safety of its clinical use,and to provide guidance for clinical application.Method:45 patients with Bell's facial paralysis who met the criteria included in this study were randomly divided into acupoint application group,acupuncture group and western medicine group.There were 15 cases in each group.The three groups were treated with prednisone,acyclovir and methylcobalamin for 10 days as a course of treatment.The patients in the application group were treated with "Bemba ointment" as a course of treatment.The treatment group was treated with "Bemba ointment" as a pill,which was applied on the affected side at Qianzheng point and on the healthy side of Lao Gong acupoint for 30 minutes,and was applied once every 2nd for 10 days as a course of treatment.The acupuncture and moxibustion group was treated with routine acupuncture and moxibustion once on 1st.The acupuncture was kept in the body for 30 minutes for 10 days as a course of treatment.The western medicine group was not given any other treatment.After a course of treatment,the H-B scores,H-B grading and the facial disability index(FDI)before and after treatment were compared to evaluate the clinical efficacy of the three groups.The irritation intensity and safety of Bemba ointment on skin were evaluated by scoring the degree of allergic reaction within 48 hours.Results:1.H-B scale: The scores of the three groups were significantly decreased before and after treatment,and the differences among the three groups were statistically significant(P<0.01).After three groups of treatment,the three groups were compared,the application group,the acupuncture group scores were lower than the western medicine group,the three groups of data difference was statistically significant(P<0.05).Compared with the acupuncture and moxibustion group,the difference was not significant(P>0.05).2.H-B rating: The scores of the three groups were improved before and after treatment,and there were significant statistical differences among the three groups(P<0.01).After treatment,the improvement of the treatment group was better than that of the western medicine group,and the difference was statistically significant(P<0.05).The improvement of acupuncture group was better than that of western medicine group,and the difference was statistically significant(P<0.01).There was no significant difference between the acupuncture group and the application group(P>0.05).3.FDI scale: The FDIP scores of the three groups increased significantly before and after treatment,and the difference was statistically significant(P<0.01).After treatment,the FDIP scores in the application group and acupuncture group were higher than those in the western medicine group,and the difference was statistically significant(P<0.05).But there was no statistical difference between the application group and the acupuncture group(P>0.05).The FDIS scores of the three groups were significantly decreased before and after treatment,and the difference was statistically significant(P<0.01).The FDIS scores in the two groups were significantly lower than those in the western medicine group(P<0.05).There was no statistical difference between the application group and the acupuncture group(P>0.05).4.The effective rates of acupuncture group,acupuncture group and western medicine group were 92.8% and 93% and 60.03%.The difference was statistically significant(P<0.05),among which,the effective rate of acupuncture group and application group was higher than that of western medicine group(P<0.05).There was no significantdifference in effective rate between application group and acupuncture group(P>0.05).5.The average response score of Bemba ointment to skin irritation was more than 0.5but less than 2.99,which indicated that Bemba ointment had only slight irritation to skin according to the dosage used in this experiment.Conclusion:1."Banba ointment" acupoint application has significant effect in treating Bell's facial paralysis in acute stage.2.The acupoint application of "Bamba ointment",0.1g per acupuncture points,application time 30 min,is only mild irritation to skin,and it is safe to use clinically. |
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