| ObjectiveThe purpose of this study is to observe the clinical efficacy of ginger-separated moxibustion combined with acupuncture in the treatment of intractable peripheral facial paralysis of wind-cold type,and to objectively evaluate the curative effect of ginger-separated moxibustion combined with acupuncture with suspended moxibustion combined with acupuncture as control.for the clinical treatment of wind-cold type of intractable peripheral facial paralysis to provide a more accurate and effective treatment,give full play to the characteristics of "simple and cheap valid test" of traditional Chinese medicine.MethodIn strict accordance with the case inclusion criteria proposed in this study,cases were selected from outpatients in the Department of Acupuncture and moxibustion,the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine,and 60 patients were selected with informed consent in strict accordance with the requirements of ethics.the time of inclusion is from January 2019 to December 2019.In accordance with the principle of random control,using a simple randomized method,the patients were divided into treatment group(ginger-separated moxibustion combined with acupuncture)and control group(suspended moxibustion combined with acupuncture)with 30 cases in each group.The treatment group was treated with routineacupuncturepoints:Yangbai(GB14),Taiyang(EX-HN5),Zanzhu(BL2),Quanli ao(SI18),Qianzheng,Yingxiang(LI20),Decang(ST4),Jiachengjiang(ST6),Yifeng(SJ17),Zhongzhu(SJ3)(all on the affected side)and Hegu(L14)(opposite side).Deep needling through acupoints and flat tonifying and relieving manipulation were used and the needle was retained for 30 minutes.Ginger-separated moxibustion was performed after acupuncture,andacupointswereselected:Yangbai(GB14),Taiyang(EX-HN5),Zanzhu(BL2),Quanliao(SI18),Qianzheng,Yingxi ang(LI20),Decang(ST4),Jiachengjiang(ST6)(all on the affected side);the control group was treated with acupuncture and operation,and suspended moxibustion was performed after acupuncture.The selection of acupoints for hanging moxibustion and ginger-separated moxibustion are the same.The patients in the two groups were treated every Monday,Wednesday and Friday,3 times per course of treatment for a total of 8 weeks,that is,8 courses of treatment.Patients were evaluated before the first treatment and after the course of treatment.The evaluation method selected House-Brackmann facial nerve function evaluation scale(Hmurb rating)and facial nerve function evaluation score scale,in order to evaluate the curative effect of the two groups.After data collection and finishing,SPSS23.0 statistical software was used for analysis.Results1.Before treatment,there was no significant difference between the two groups in terms of sex,age,location of the diseased side,Hmurb rating,average score of facial nerve function evaluation scale and so on(P>0.05),so there was no significant difference between the two groups(P>0.05).2.The improvement time of stomatoptosis symptoms was(10.93±4.13)days in the treatment group and(17.43±3.80)days in the control group.The disappearance time of frontal lines was(8.77±1.74)days in the treatment group,(18.20±1.79)days in the control group,(4.97 ± 1.71)days in the treatment group and(11.07±2.03)days in the control group.After clinical treatment,there was significant difference in the improvement time of frontal lines and incomplete eye atresia between the two groups(P<0.05).3.Before treatment,the average total score of facial nerve function was 19.60±16.22 in the control group and 21.67±18.23 in the treatment group.There was no difference in the total score of facial nerve function between the two groups before treatment(P>0.05).After treatment,the average total score of facial nerve function in the control group was 28.33 ±14.02,and that in the treatment group was 35.25±9.31.The total score of facial nerve function in the treatment group was higher than that in the control group(P<0.05).The results showed that the curative effect of the treatment group was better than that of the control group.4.There was no significant difference between the two groups before treatment(P>0.05).After treatment,the control group was cured in 11 cases,markedly effective in 4 cases,effective in 7 cases,and the total effective rate was 73.3%.The treatment group was cured in 20 cases,markedly effective in 5 cases,effective in 4 cases,and the total effective rate was 97.3%.The curative effect of the treatment group was better than that of the control group(P<0.05).Conolusion1.Ginger-separated moxibustion combined with acupuncture and suspended moxibustion combined with acupuncture are effective in the treatment of intractable peripheral facial paralysis of wind-cold type.2.The therapeutic effect of ginger-separated moxibustion combined with acupuncture is better than that of suspended moxibustion combined with acupuncture. |
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