ABSTRACT
Objective To compare the effects of heat-sensitive moxibustion and ginger-partition moxibustion on refractory peripheral facial paralysis. Methods Fifty-five patients with refractory peripheral facial paralysis were randomized into heat-sensitive moxibustion group (N=28) and ginger-partition moxibustion group (N=27). For two cases dropped out during the treatment, a total of 25 cases were finally enrolled into the ginger-partition moxibustion group. Two groups received oral use of mecobalamin tablets and conventional acupuncture, and heat-sensitive moxibustion group was given heat-sensitive moxibustion and ginger-partition moxibustion group was given ginger-partition moxibustion additionally. The moxibustion was performed once a day and ten times constituted one course, the treatment covered 6 courses. The clinical effect of the two groups was evaluated by 40-score method, House-Brackmann facial neurological function evaluation standard, blink reflex ( BR) , electromyogram and electroneurography. Results ( 1) Symptoms integral was increased in both groups after treatment ( P0.05). Conclusion The curative effect of heat-sensitive moxibustion for the treatment of refractory peripheral facial paralysis is better than that of ginger-partition moxibustion.
ABSTRACT
Objective To monitor the activities of orbicularis oculi muscle by analyzing the electroneurogram (ENG) of its innervating nerve. Methods The ENG was recorded in vivo by a cuff electrode implanted around a dog’s zygomatic branch of facial nerve. The differences between the ENG during relaxing period of the orbicularis oculi muscle and during the constricting period were analyzed to explore a way to monitor the muscle activities. Results The ENG signals indicating occurrences of eye blinking events were extracted in the study. Time-frequency analysis showed that there was no ENG difference when the orbicularis oculi muscle was in relaxing periods no mater whether it was in the nature eye-opening period or in the interval of eye blinking. The ENG of orbicularis oculi muscle in constricting period was different from the ENG in relaxing period at amplitude and frequency. Conclusion It is feasible to monitor the orbicularis oculi muscle activities by ENG analysis.
ABSTRACT
Objective To observe the changes of electroneurogram in patients with diabetic peripheral neuropathy(DPN).Methods The electroneurophysiological data of 78 patients with DPN,including motor nerve conduction velocity(MCV),sensory nerve conduction velocity(SCV) and F-response,were observed.Results Among the inspected 468 nerves of 78 patients with DPN,166 nerves' MCV were slowed down,and 39 nerves with the decrease of MCV were accompanied by the prolongation of distal delitescence.The abnormality rate was 43.8%.175 nerves' SCV were also reduced,75 nerves were tested with no potential elicited,and 26 nerves with the decrease of SCV were accompanied by the prolongation of distal delitescence.The abnormality rate was 58.9%.The F-waves of 66 nerves(64.7%) in 102 tested nerves were abnormal,and 12 nerves' F-wave time chronodispersion(11.8%) increased.Conclusions Electroneurogram is a sensitive and characteristic inspection in the diagnosis of DPN,and the diagnostic sensitivity may be improved if multiple parameters are used together.