The Clinical Research About The Time Of Acupuncture Treat Peripheral Facial Paralysis

Objective:The timing of acupuncture intervention for peripheral facial paralysis has always been controversial and has not formed a relatively consistent view and standard.This study explored the timing of acupuncture intervention for peripheral facial paralysis and provided reference for clinical workers and scientific basis for the choice of acupuncture or non-acupuncture in the acute phase of peripheral facial paralysis.Methods:In this study,93 patients with peripheral facial paralysis who were included in the clinical data were collected and divided according to the degree of facial nerve injury at the time of treatment within 3 days after the onset of the disease.That is to say,according to the amplitude of F wave in the affected side showed by facial electroneurography(ENoG),the amplitude of F wave in the affected side was less than50% in group A and more than 50% in group B.Group A and B were randomly divided into acute acupuncture group(A1 group,B1 group)and non-acupuncture group(A2 group,B2 group).All four groups were treated with glucocorticoid ? neurotrophic drugs,prednisone were treated for 1 week,vitamin B1 and mecobalamin for 2 weeks.All the four groups were treated with acupuncture after acute stage.Acupuncture for 5 days as a course of treatment,A 2-day break between courses of treatment,observation of 4 courses.H-B scale and FDI scale were recorded before and after treatment.Results:1.Comparison of baseline indicators:According to the statistical analysis,there were no significant differences in age,sex,course of disease and pre-treatment among the four groups of A1,A2,B2 and B2,and there was no significant difference between the four groups,(P>0.05).2.Comparison of comprehensive curative effect:Group A :The total effective rate of A1 group was 100%,A2 group was 100%,A1,A2 group were compared in comprehensive curative effect after treatment,the rank sum test,(P>0.05),there was no significant difference between A1 group and A2 group,The results showed that there was no difference between the two groups in comprehensive curative effect.Group B :The total effective rate of B1 group was 91.67%,that of B2 group was100%,the comprehensive curative effect of B1 and B2 groups after treatment was compared by rank sum test(P<0.05),there was significant difference between the two groups,The results showed that the comprehensive curative effect of B2 group was better than that of B1 group.3.Comparison of FDI and HB scalesGroup A :Two groups of FDIP? FDIS and HB were respectively compared before treatment,after statistical analysis,(P>0.05),there was no difference between the two groups,and there was comparability between the two groups.After treatment,there was no difference in FDIP,FDIS,HB between the two groups(P>0.05),indicating that there was no difference in improving FDIP,FDIS,HB between A1 group and A2 group.Group B :Before treatment,two groups of FDIP,two groups of FDIS,and two groups of HB were compared respectively,after statistical treatment,(P>0.05),there was no significant difference between the two groups,and there was comparability between the two groups.After treatment,two groups of FDIP,two groups of FDIS,and two groups of HB were compared with each other.The difference was statistically significant(P<0.05),indicating that B2 group was better than B1 group in improving the FDIP,FDIS,HB;Conclusion:1.For patients with mild facial nerve injury in peripheral facial paralysis,no acupuncture can be chosen in the acute phase.2.For the patients with severe facial paralysis,the face of the acute phase should not be needled,so as to avoid further damage of the facial nerve.