Electrical response sensitivity is proportional to the curative effect

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

ZuoCong Henan zhoukou city center for disease control and prevention

China's traditional Chinese medicine to

        Of 68 cases, 53 cases cured, 10 cases were markedly improved, 3 cases ineffective in 2 cases, and the cure rate was 77.94%, total effective rate was 97.06%. Four electric response grade group of patients, from excellent to carrier recovery rate of 100%, 100%, 18.2% and 0%, the difference is very significant. Results suggest curative effect is proportional to the sensitivity of electricity, the electrical response grading, the better curative effect is better.

        Therefore used the curative response classification in bell palsy treated early to evaluate its nerve damage degree classification, and accordingly for the treatment of moderate and reasonable to correct judgment, treatment, prognosis can objectively evaluate the clinical information and grasp the law of acupuncture effect, make the bell palsy acupuncture clinical results more comparable and repeatability.

        Bell palsy is the most common type of facial nerve injury, acupuncture therapy as a traditional advantage, has accumulated a wealth of clinical experience. , by contrast, the accurate and convenient can be used to evaluate facial nerve function damage degree, and disease outcome prognosis research is quite insufficient, makes the disease lack of norms and standards of clinical research.

        In recent years, the author in the clinical practice of acupuncture treatment of bell's palsy, including by measuring instrument output low frequency pulse current in the department of electrical response of flank, to assess the patients with facial nerve injury severity, the result is reliable, easy to use. Now report as follows.

        Electrical response observation method

        When bell palsy patients do cupping treatment of electrical response investigation. Acute stage patients in the course of the 8th day electric acupuncture intervention, including remission patients on the day of the intervention. Cupping therapy for the first time open the acupuncture therapeutic apparatus, observe and according to the risk of side of muscle activity after the power supply for electric response classification. Acute stage in patients with continuous observation records, after 1 week remission continuous observation for 3 days, will be subject to multiple occurrences of the electric response classification.

        Determination method

        In the one side white, the sun, shimonoseki, zygomatic liao, wo liao, clip on pulp after routine disinfection, with 1 inch needle from Yang white fish waist direction flat spines, the sun to the lateral canthus fangxie thorn, shimonoseki, zygomatic liao all stab, wo liao, clip on slurry in the direction of the midline oblique thorn, acupuncture depth were between 0.5 ~ 0.8 inches. After acupuncture needling, acupuncture therapeutic apparatus 3 set of output wire is negative, respectively, through to the sun - Yang white, shimonoseki - zygomatic liao, wo liao - clip on plasma the needle handle. Choose the density wave and open power, observation of side orbicularisoris muscles, the movement of frontal muscle and the cheek muscles, the amplitude of the muscle contraction reaction activity, according to its electrical response can be divided into optimal level, intermediate, and poor level 4 and no response.

        Electrical response classification standard and the results

        Current optimal level: the patient feel see facial muscle movement at the same time, groups of acupoints corresponding facial muscles may appear obvious, and cupping dilatational wave synchronized rhythmic movement, especially in the dense wave obvious changes in facial muscle movement, meet or exceed the normal expression muscle movement. Determination for optimal level 44 cases before treatment.

        Intermediate: current maximum tolerance to patients, acupuncture point local visible muscle contraction and beating, dense wave when the facial expression cannot achieve normal range of motion contraction change slightly. Determination for the intermediate 7 cases before treatment.

        Difference, although patients has obvious curative position, but only see acupuncture the muscles around the beating, or dense wave appears as a small limited shrinkage for sports. Before a treatment for poor level in 11 cases.

        Although no response: patients have a strong sense of electric acupuncture, but acupuncture local muscle contractions, or only with needle loom in sparse wave. Determination is no responders 6 cases before treatment.

        The curative effect is proportional to the electrical response sensitivity

        According to the standard of rating internationally recognized facial nerve function H - B rating scale for curative effect evaluation standard, which is divided into healing, *, valid and invalid 4 level. All areas in order to achieve the normal standards, facial muscles to recover normal function, mild impairment to pay off, moderate impairment is effective, with no improvement or functional recovery than moderate impairment treatment are invalid.

        After treatment method (out) of 68 cases, 53 cases cured, 10 cases were markedly improved, 3 cases ineffective in 2 cases, and the cure rate was 77.94%, total effective rate was 97.06%. Four electric response grade group of patients, from excellent to carrier recovery rate of 100%, 100%, 18.2% and 0%, the difference is very significant. Results suggest curative effect is proportional to the sensitivity of electricity, electrical response grading, the better curative effect is better.

        Four groups of patients with different electrical response classification of course there is also a difference. Electrical response excellent short course of treatment, with electrical response variation, the treatment has been extended. Although electric response, intermediate patients can be cured and there was no difference in the curative effect, but the difference between the two course of different.

        Electrical response optimal level of 77.27% healed in 4 weeks, and intermediate patients has not been recovered in 4 weeks, the recovery time first appeared in week 5, you within 12 weeks of treatment; Poor electrical level 2 cases of recovery, as in week 12, most obvious curative effect in 16 weeks ago; No response level course in 16 weeks or more patients, and treatment is more dispersed, no centralized recovery time, individual difference is bigger.

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