Clinical Study On The Treatment Of Peripheral Facial Paralysis With Pain Behind The Ear By Pricking And Bloodletting

Purpose:By comparing and observing the clinical efficacy of bloodletting combined with acupuncture and simple acupuncture in the treatment of patients with acute peripheral facial paralysis complicated with postauricular pain in the acute stage,this paper explores a better therapeutic scheme for patients with acute peripheral facial paralysis complicated with postauricular pain with stronger analgesic effect,shorter course of treatment and better curative effect.Material and method:The 60 patients who met the inclusion criteria were divided into2 groups according to the random number grouping method,with 30 cases in each group.The basic treatment of the two groups of patients was the same,and the acupuncture selection and operation were the same.Control group: shallow acupuncture in the acute phase(disease duration ? 7 days),routine acupuncture in the stationary phase(within 8-20 days of onset);observation group: shallow acupuncture combined with bloodletting in the acute phase,routine acupuncture in the stationary phase,specific operations : After routine disinfection,use a triangular needle to prick the blood and release 2-3ml of blood.The bloodletting will be done every other day.After the acute phase,the bloodletting will not be done.If the pain disappears after the ear during the treatment,the bloodletting will not be stopped.Both groups were observed until the end of the quiescent period.During the quiescent period,if the patient recovered,the observation and treatment would be stopped and the treatment period was deemed to be the end.If the patient was not cured,the treatment continued according to the patient's symptoms,but the quiescence period was deemed to be the end of the treatment period.VAS scores were assessed before the first treatment,immediately after treatment,and20 minutes after treatment in the two groups,and the time of disappearance of pain behind the ears were recorded respectively;the two groups were rated H-B facial nerve function rating before treatment and at the end of treatment,and the curative effect was evaluated.Observe the relief of the pain behind the ears,the disappearance time of the pain behind the ears,and the recovery of facial nerve function in the two groups after treatment.The data obtained are analyzed by SPSS software to observe and compare the differences in curative effect between the two groups.Results:1.There were no cases of drop-off in the two groups of treatment.The basic conditions of the two groups of patients,age,gender,location of disease,course of disease,etc.,were compared by statistical software analysis(P>0.05),and the difference was not statistically significant.2.Comparison of VAS scores of pain behind the ears at various periods after the first treatment:Comparison before treatment: Comparison of VAS scores between the two groups before treatment(P=0.385>0.05),the difference was not statistically significant,and the two groups were comparable;Immediately after treatment and comparison within the pre-treatment group: using the rank sum test,the test group and the control group(P<0.01),suggesting that the VAS scores of the two groups immediately after treatment are statistically significant compared with those before treatment.Comparison between 20 min after treatment and within the group before treatment: using rank sum test,test group and control group(P<0.01),suggesting that the VAS scores of the two groups at 20 min after treatment are statistically significant compared with those before treatment.Comparison between groups: Compare the two groups,immediately after treatment(P=0.564>0.05),indicating that there is no significant difference in VAS scores between the two groups immediately after treatment;20min after treatment(P=0.007<0.01),suggesting:test group and control group The difference in VAS score was statistically significant.3.Comparison of the disappearance time of post-aural pain between the two groups: the Chi-square test was used to compare the disappearance time of the two groups' post-aural pain(P<0.01),indicating that the difference between the test group and the control group was statistically significant;the timing of intervention in the test group was The effect of the disappearance time of the pain behind the ear: the chi-square test(P<0.01)indicates that the difference is statistically significant.4.Comparison of H-B facial nerve palsy grading before and at the end of treatment between the two groups:Comparison of H-B facial nerve palsy grading between the two groups before treatment(P>0.05),the difference was not statistically significant and comparable;Intra-group comparison: The H-B facial nerve palsy classification of the experimental group and the control group after treatment was compared with that before treatment(P<0.05),the difference was statistically significant;Comparison between groups: The H-B facial nerve palsy classification between the experimental group and the control group after treatment was compared(P<0.05),and the difference was statistically significant.5.Comparison of curative effect between the two groups of patients after the course of treatment: the treatments of the two groups are effective,and the healing rate and effective rate of the experimental group are better than those of the control group.The total curative effect of the two groups was P=0.040<0.05,and the difference was statistically significant.Conclusion:1.Both the observation group and the control group are effective in treating peripheral facial paralysis with pain behind ears in acute stage,and the observation group has better analgesic effect.2.Compared with the control group,the observation group has a shorter time to eliminate the pain behind the ear,and the earlier the intervention,the faster the pain behind the ear disappears.3.The recovery degree of facial nerve function in the observation group is better than that in the control group,and the effective rate and effective rate at the end of treatment are higher than those in the control group.