Exploration Of The Application Of Ginger-separated Moxibustion Combined With Electric Acupuncture On Refractory Facial Paralysis

Purpose:To explore the application of ginger-separated moxibustion combined with electric acupuncture on refractory facial paralysis.Material and method:A total of 84 cases refractory facial paralysis patients in our hospital from Mar.2017 to Jan.2019 were selected as study objects and divided into electric acupuncture group and ginger-separated moxibustion combined with electric acupuncture group according to random number table,42 cases were for each group,which were given electric acupuncture therapy and ginger-separated moxibustion combined with electric acupuncture therapy respectively,1 time/d,1 week was for 1 course,rest 2 d between 2coures of treatment,treated for 6 weeks continuously.(1)The general information of patients in electric acupuncture group and ginger-separated moxibustion combined with electric acupuncture group were statististed and compared,which including gender,age,course,facial paralysis parts and so on;(2)The improvement of facial nerve function of patients in electric acupuncture group and ginger-separated moxibustion combined with electric acupuncture group before and 6 weeks after treatment were evaluated by House-Brackmann(H-B)rating scale;(3)the improvement of clinical symptoms and signs of patients in electric acupuncture group and ginger-separated moxibustion combined with electric acupuncture group 6 weeks after treatment were compared,and the clinical effect of patients in 2 groups were statististed;(4)The plasma immunoglobulin levels of patients in electric acupuncture group and ginger-separated moxibustion combined with electric acupuncture group before and 6 weeks after treatment were detected and compared by automatic chemiluminescence immune analyzer;(5)The occurence of related adverse reaction of patients in electric acupuncture group and ginger-separated moxibustion combined with electric acupuncture group during the treatment were statististed for safety analysis.Results:1.The statistical analysis shows that,there was no statistically significant difference of the gender,age,course,facial paralysis parts between electric acupuncture group and ginger-separated moxibustion combined with electric acupuncture group(P>0.05),there was obvious comparability between the two groups.2.Compared with before treatment,the proportion of patients with the H-B classification of? class in electric acupuncture group and ginger-separated moxibustion combined with electric acupuncture group 6 weeks after treatment increased significantly,the difference is statistically significant(P<0.05 or P<0.01);6 weeks after treatment,the proportion of patients with the H-B classification of?class in ginger-separated moxibustion combined with electric acupuncture group increased significantly,and the proportion of patients with the H-B classification of ?,?,? classes decreased significantly,the difference is statistically significant(P<0.05 or P<0.01);compared with electric acupuncture group,the proportion of patients with the H-B classification of?,?class in ginger-separated moxibustion combined with electric acupuncture group 6 weeks after treatment increased significantly,and the proportion of patients with the H-B classification of ?,?class decreased significantly,the difference is statistically significant(P<0.05 or P<0.01);3.Compared with before treatment,the scores of the clinical symptoms and signs of facial expressions,mouth corner crooked,palpebral fissure closure,nasolabial sulcus becomes shallow,forehead lines disappear of patients in electric acupuncture group and ginger-separated moxibustion combined with electric acupuncture group 6 weeks after treatment decreased significantly,the difference is statistically significant(P<0.01);compared with electric acupuncture group,the scores of the clinical symptoms and signs of facial expressions,mouth corner crooked,palpebral fissure closure,forehead lines disappear of patients in ginger-separated moxibustion combined with electric acupuncture group 6 weeks after treatment decreased significantly,the difference is statistically significant(P<0.05 or P<0.01);The total effective rate of patients in ginger-separated moxibustion combined with electric acupuncture group 6 weeks after treatment was 90.48%,the total effective rate of patients in electric acupuncture group was 73.81%,ginger-separated moxibustion combinedwith electric acupuncture group was higher than electric acupuncture group significantly,the difference is statistically significant(P<0.05);4.Compared with before treatment,the plasm IgG,IgM and IgA contents of patients in electric acupuncture group and ginger-separated moxibustion combined with electric acupuncture group 6 weeks after treatment decreased significantly,the difference is statistically significant(P<0.05 or P<0.01);compared with electric acupuncture group,the plasm IgG,IgM and IgA contents of patients in ginger-separated moxibustion combined with electric acupuncture group 6 weeks after treatment decreased significantly,the difference is statistically significant(P<0.01);5.There were no serious adverse events of patients in electric acupuncture group and ginger-separated moxibustion combined with electric acupuncture group during treatment,the security is good.1.Ginger-separated moxibustion combined with electric acupuncture therapy can improve the facial nerve function of patients with refractory facial paralysis effectively,and the effect is significantly better than electric acupuncture alone;2.Ginger-separated moxibustion combined with electric acupuncture therapy can improve the clinical symptoms and signs and enhance the clinical efficacy of patients with refractory facial paralysis effectively,and the clinical total effective rate is higher than that of electric acupuncture alone;3.Ginger-separated moxibustion combined with electric acupuncture therapy can reduce the plasm unusually high immunoglobulin content of patients with refractory facial paralysis effectively,restore the humoral immune of patients,the effect is better than electric acupuncture alone4.Ginger-separated moxibustion combined with electric acupuncture therapy has higher security for patients with refractory facial paralysis.