Observation On The Clinical Curative Effect Of "Jingjin" Acupuncture In The Treatment Of Moderate-to-Severe Peripheral Facial Paralysis During The Recovery Period

Objective:This study aims to compare the clinical efficacy of Jingjin acupuncture and conventional acupuncture in the treatment of moderate-to-severe peripheral facial paralysis during the recovery period,and to evaluate the safety of the two treatment options,so as to seek the best plan for the treatment of moderate-to-severe peripheral facial paralysis during the recovery period,and provide reference and basis for future clinical treatment.Method:Included 80 patients with moderate-to-severe peripheral facial paralysis in the recovery period who met the criteria of this study were randomly divided into treatment group(the Jingjin acupuncture group)and control group(acupuncture only group),and each group had40 cases.Both groups were given oral Mecobalamin tablets.On this basis,the treatment group was treated with Jingjin apuncture.Acupoints: affected side: puncturing Cuanzhu(BL 2)towards Yuyao(EX-HN4),puncturing Sibai(ST 2)towards outer and inner corner of the eye,puncturing Yangbai(GB 14)towards Shangxing(DU 23)/ Touwei(ST 8)/ Cuanzhu(BL 2)and Sizhuong(SJ 23),puncturing Taiyang(EX-HN5)towards Dicang(ST 4),puncturing Dicang(ST4)towards Jiache(ST 6),Jingjin aligning needling point from Dicang(ST4)to Jiache(ST 6),Quanliao(SI 18),healthy side Hegu(LI 4),other acupoints are selected according to symptoms.The control group was treated with conventional acupuncture,acupuncture points: affected side Cuanzhu(BL 2),Yangbai(GB 14),Sibai(ST 2),Quanliao(SI 18),Jiache(ST 6),Dicang(ST4),healthy side Hegu(LI 4),and other acupoints were assigned according to the syndrome.Both groups received acupuncture once a day,with 30 minutes of needle retention each time,and rested for 2 days after continuous treatment for 5 days.The treatment cycle of both groups was 4 weeks.The H-B Facial Nerve Function Rating Scale,Portmann Simple Score,and Facial Nerve Function Score of the two groups were compared and analyzed between groups and within groups before treatment,and 4 weeks after treatment,respectively,and he clinical efficacy of the two groups were compared after the treatment.Result:1.Before treatment,there was no significant difference in the gender,age,affected side,course of disease,the H-B Facial Nerve Function Grading Scale,Portmann Simple Score,Facial Nerve Function Score between the two groups of patients(P>0.05).The baseline conditions are similar and comparable.2.Comparison within the group: Compared with before treatment,the H-B facial nerve function grade,Portmann simple score,and Facial Nerve Function score of the Jingjin acupuncture group and the conventional acupuncture group after 2 weeks and 4 weeks of treatment were improved,and the differences were statistically significant(P<0.05).Compared with after 2 weeks of treatment,the H-B facial nerve function grade,Portmann simple score,and Facial Nerve Function score of the Jingjin acupuncture group after 4 weeks of treatment and the conventional acupuncture group after 4 weeks of treatment were improved,and the difference was statistically significant(P< 0.05).3.Comparison between groups: Before treatment,there was no difference in H-B facial nerve function rating,Portmann simple score,and facial nerve function score between the Jingjin acupuncture group and the conventional acupuncture group(P>0.05);after 2 weeks and 4 weeks of treatment,The H-B facial nerve function grade,Portmann simple score,and facial nerve function score were statistically different between the two groups(P<0.05).The degree of improvement of the H-B facial nerve function rating,Portmann simple score,and facial nerve function score in the Jingjin acupuncture group was better than that of the conventional acupuncture group.4.After 4 weeks of treatment,the curative effect was evaluated according to the HB Facial Nerve Function Grading Scale and Facial Nerve Function Score.The number of cases in the Jingjin acupuncture group that met the criteria of cure,markedly effective,effective,and ineffective were 9 cases,20 cases,7 cases,and 2 cases,respectively,and the number of cases in the conventional acupuncture group that met the criteria of cure,markedly effective,effective,and ineffective were 4 cases,16 cases,13 cases and 6 cases respectively.The clinical efficacy between the two groups was statistically different(P<0.05),and the cure rate,apparent rate,and total effective rate of the treatment group were better than those of the control group,the therapeutic effect of the treatment group is better than that of the control group.5.The safety evaluation of the two groups of patients during the treatment period was grade 1-2.Conclusion:1.Both the Jingjin acupuncture method and the conventional acupuncture method have good effects in the treatment of moderate-to-severe peripheral facial paralysis during the recovery period,and are safe and easy to operate.2.The clinical efficacy of Jingjin acupuncture in the treatment of moderate-to-severe peripheral facial paralysis during the recovery period is better than conventional acupuncture,Jingjin acupuncture has certain clinical application value.