Clincal Study Of Tiaoshen Acupuncture In The Treatment Of Hemifacial Spasm With Anxiety

Objective: To compare the improvement of hemifacial spasm and clinical efficacy of Tiao Shen acupuncture and routine acupuncture in patients with facial spasm with anxiety,so as to provide theoretical basis for clinical treatment.Methods: 64 patients with hemifacial spasm with anxiety were randomly divided into routine acupuncture group(n = 32)and Tiaoshen acupuncture group(n = 32).The routine acupuncture group refers to the treatment of hemifacial spasm in the national higher education textbook of traditional Chinese medicine "Acupuncture and moxibustion".Acupoints:Cuanzhu(BL2),Ashi point,Taiyang(EX-HN5),Hegu(LI4),Fengchi(GB20),Quanliao(SI18),Taichong(LR3).In the Tiaoshen acupuncture group,the acupoints of the Tiaoshen group were added on this basis: Baihui(DU20),Shenting(DU24)and bilateral Benshen(GB13).During the operation,the acupoints of the Tiaoshen group were given acupuncture at the depth of penetration into the 30 mm under the cap aponeurosis,a small fast twirling manipulation was performed with a frequency of 200r/min,and each acupoint was treated with 2min.After the acupoints of the Tiaoshen group were De Qi,the twirling manipulation was performed every other 10 min,and the remaining acupoints were routinely needled to De Qi,then the needle was retained to treat 30 min.Patients in both groups were operated once a day,2days off a week,7 days as a course of treatment,and 4 consecutive courses of treatment.The data changes of Penn spasm frequency grade,Cohen spasm intensity grade,Hamilton anxiety scale and hemifacial spasm questionnaire were observed before and after 4 courses of treatment,and the improvement of spasm intensity,spasm frequency,anxiety state and quality of life were evaluated before and after treatment.The data in all clinical trials were analyzed by SPSS26.0 statistical software.Results:1.Penn spasm frequency grade: After treatment,the Penn spasm frequency grade of the two groups decreased(P < 0.05),and the decreasing degree of Tiaoshen acupuncture group was significantly better than that of routine acupuncture group(P < 0.05),the difference was statistically significant.2.Cohen spasm intensity grade: After treatment,the Cohen spasm intensity grade of the two groups decreased(P < 0.05),and the decreasing degree of the Tiaoshen acupuncture group was significantly better than that of the routine acupuncture group(P < 0.05),the difference was statistically significant.3.HAMA score: After treatment,the HAMA score of the two groups decreased compared with that before treatment(P < 0.05),and the HAMA score of the Tiaoshen acupuncture group was significantly better than that of the routine acupuncture group(P < 0.05),the difference was statistically significant.4.HFS-30 score: After treatment,the HFS-30 score of the two groups decreased compared with that before treatment(P < 0.05),and the decrease of HFS-30 score in the Tiaoshen acupuncture group was significantly better than that in the routine acupuncture group(P < 0.05),the difference was statistically significant.5.Comparison of clinical efficacy: The total effective rate of the Tiaoshen acupuncture group was 93.33%(28/30),and that of the routine acupuncture group was 83.87%(26/31).The rank sum test showed that the difference was statistically significant(P < 0.05).Conclusion:1.The clinical effects of Tiaoshen acupuncture and routine acupuncture in the treatment of hemifacial spasm with anxiety are embodied in the decrease of the frequency and intensity of facial spasm,the relief of anxiety and the improvement of quality of life.Among them,Tiaoshen acupuncture can improve it more significantly.2.Tiaoshen acupuncture is effective in the treatment of hemifacial spasm with anxiety,and its curative effect is better than that of routine acupuncture,and has high clinical application value.