RESUMO
Objective To investigate the clinical efficacy of staging treatment with various acupuncture therapies mainly on Yifeng (TE17) point for the treatment of peripheral facial paralysis. Methods One hundred and two peripheral facial paralysis patients were randomly divided into trial group and control group, 51 patients in each group. The trial group was given acupuncture mainly on Yifeng point, by Yang needling(plum-blossom needling) for acute stage, Qi needling(concentrated triple-needling) for resting stage and Bang needling(lateral needling) for recovery stage. The control group was given conventional acupuncture. The treatment for the two groups was performed once a day, 5 continuous days constituted a course, and the treatment lasted 3 courses. Before treatment and after treatment for 1, 2, 3 course (s), facial nerve function scores were evaluated with House-Brackmann Grading Scale (HB) and the scores of pain in head and face were evaluated with Visual Analogue Scale (VAS). And the clinical efficacy of the two groups was assessed after treatment. Results (1) After treatment for 3 courses, the cure rate and total effective rate of the trial group were 82.35％, 100.00％, and those of the control group were 60.78％, 86.27％, respectively. The differences between the two groups were significant (P <0.05). (2) After treatment, HB scores and VSA scores of patients with facial pain and headache in the two groups were improved after treatment (P < 0.05 compared with those before treatment), and the improvement in the trial group was superior to that in the control group (P < 0.05). Conclusion Staging treatment with various acupuncture therapies mainly on Yifeng point is more effective for the treatment of peripheral facial paralysis than conventional acupuncture.
RESUMO
Objective To discuss the clinical efficacy of warm acupuncture, acupoint injection, bloodletting and electroacupuncture, and their interaction effects for acute cold type facial paralysis. Methods Totally of 48 patients with acute cold type facial paralysis were randomly divided into three groups by orthogonal experimental design, and then were assigned to 16 treatment plans. All patients received routine basic treatment, and then were given warm acupuncture, acupoint injection, bloodletting and electroacupuncture according to assigning results. 10 d were as a treatment course, with 2 d as interval, 3 treatment courses in total. The neurological function scores before and after treatment and facial nerve recovery time were recorded. Results There was statistical significance in scores of facial nerve function, warm acupuncture, acupoint injection, electroacupuncture, bloodletting had significant difference with errorterm (P<0.01). There was statistical significance in the recovery time of the facial nerve function, warm acupuncture, bloodletting compared with error term (P<0.01). Conclusion Warm acupuncture, acupoint injection, bloodletting and electroacupuncture combine with acupuncture are better for acute cold type facial paralysis. Warm acupuncture and bloodletting therapy in the acute phase of interventional therapy can shorten the recovery time of facial nerve.