Acupuncture treatment of facial paralysis should attach importance to evaluate the role of facial nerve function

Zhou Zhangling The people's liberation army general hospital of hainan branch acupuncture

Chen yong College of hainan medical college of traditional Chinese medicine

China's traditional Chinese medicine to

        Facial paralysis is a clinical common disease, is around unexplained acute onset of unilateral facial nerve paralysis, commonly known as facial paralysis.

        The traditional advantage of acupuncture as a treatment for it has a good curative effect, has been widely recognized. But it must be admitted that, the deficiencies still exist in the clinical treatment of the disease. In facial paralysis of acupuncture clinical at present there are two problems, one is the facial nerve functional assessment rating has not been seriously, the vast majority of people don't realize the importance of facial nerve function evaluation. In clinical research data, only 4.5% of the literatures mentioned facial nerve damage. And the relationship between the degree of facial nerve injury and illness weight, factors related with curative effect has been enough attention, make different treatment methods of clinical research lack of comparability and repeatability. 2 it is clinical distinction, although have facial paralysis weight when evaluation grading standard is not unified, but randomly divided itself is also very common, making the disease clinical research lacks the standard and specification. So, choose the scientific and reasonable, unified evaluation method, in a timely manner to differentiate illness weight, accurate assessment of prognosis and reasonable, making it in the facial paralysis clinical research is very important. In recent years, we are based on internationally recognized standards of facial nerve function rating scale (H - B), the nerve function damage degree evaluation grading, and observe the classification and the curative effect, the relationship between treatment and prognosis in the role, the findings have important clinical significance. Summary report as below.

        68 patients were from February 2009 ~ October 2011 the people's liberation army general hospital acupuncture clinic. Men 38 cases, 30 cases of women; Aged 14-85; On the left side of the 39 patients with facial paralysis, 29 patients with facial paralysis on the right side; Longest shortest duration of 1 day, 150 days. Based on description of H - B scale, 68 patients of facial nerve function evaluation can be divided into five level, from light to heavy, in order: 15 cases were mild disabilities, moderate disabilities 14 cases, 13 cases of moderately severe disabilities, 14 cases had severe disabilities, 12 cases were completely paralyzed.

        Treatment principles and methods

        According to clinical experience for many years, we used is given priority to with acupuncture and cupping, staging treats to disease, and use of Chinese and western medicine treatment principle.

        Acute period (1 ~ 7 days duration) is given priority to with a needle body acupoints, thorn bloodletting is complementary for the local shallow thorn, stab to degrees, oral western medicine for help. 1. Acupuncture and find out: the wind pool, sun, saving, pulp, bamboo, people valley, li 11, lr 3, 20 minutes of retaining needle; Ear after infrared temperature during irradiation. 2. Prick the points, the cheek area and sublingual Jin Jin bleeding, jade green network. 3. Oral prednisone acetate 30 mg, 1 times a day, 5 days reduced to 20 milligrams, 2 days after drug withdrawal; A cobalt amine 0.5 mg capsules, 3 times a day; Vitamin B1 piece of 20 mg, three times a day.

        Remission (8 days to six months duration) acupuncture find: bone, shimonoseki, sun, Yang the white/save bamboo (alternate), positive/buccal zygomatic liao, led car (alternate), wo liao, warehouse, etc. Method: can be straight, oblique thorn, but opaque thorn. Combined with cupping, choose the density wave power 15 ~ 20 minutes. Ear after infrared irradiation during the retaining needle. 1 times per day, 2 days off after 5 times. Heavier patients curative effect is not obvious, can cooperate acupuncture point injection of adenosine cobalt amine 1.5 mg, once daily. If the course has not yet recovered two months, on the basis of the aforementioned methods, acupuncture foot three mile, find three vaginal intercourse, or on the giant, with Yin ling springs, acupuncture time changed to 3 times a week, and will stop the retaining needle again after 15 minutes. Not artificial treatment schedules, observation, the curative effect shall prevail.

        Curative effect evaluation

        Still with H - B evaluation questionnaire of classification for curative effect evaluation standard, which is divided into cured, takes effect, valid and invalid level four. All areas according to normal standards, in order to achieve normal facial function to heal, mild impairment to pay off, moderate impairment is effective, functional recovery than moderate impairment are invalid.

        Treatment effect

        68 cases were cured, 53 cases, 10 cases were markedly improved, 3 cases ineffective in 2 cases, and the cure rate was 77.94%, total effective rate was 97.06%. Five different graded group from light to heavy recovery rate is in turn 100%, 92.86%, 84.62%, 64.29% and 41.67%, difference is very significant. Not only that, five group of patients with treatment time also has the very big difference, light, medium, short course, with the increase of level of facial nerve dysfunction, also prolong the treatment.

Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2013-04/15/content_72108.htm