Clinical Observation Of Acupuncture On Representative Areas Of Both Sides Combined With Routine Acupuncture For Treatment Of Facial Neuritis In Convalescence

Objective:A randomized clinical controlled trial study of acupuncture on the representative areas of both sides combined with conventional acupuncture for the treatment of convalescent facial neuritis is to explore the effectiveness of acupuncture on the representative areas of both sides combined with conventional acupuncture in the treatment of convalescent facial neuritis.Methods:A total of 105 patients who met the inclusion criteria were selected,and the patients were divided into control group I,control group II,and treatment group according to the time sequence of the first admission using random number representation.The control group I used conventional acupuncture,referring to the treatment methods of facial paralysis in the textbook "Acupuncture Therapeutics" in the "Thirteenth Five-Year Plan" for higher education in the Chinese medicine industry,taking Yangbai,Sibai,Taiyang,Xiaguan,Yingxiang,Zygomatics,cheek car,dicang,Yifeng and Hegu on the healthy side.The control group II used acupuncture on the representative area of the healthy side combined with conventional acupuncture.The treatment group used acupuncture on the representative areas of both sides combined with conventional acupuncture.The depth of acupuncture is based on the anatomical characteristics of each acupuncture point.After the acupuncture points above get qi,the needle should be kept for30 minutes.Three groups were treated with electric acupuncture at the same time of acupuncture,one group for Sibai and Yangbai,one group for Yingxiang and Zygomatica,and one group for Yifeng and Dicang.KWD-808 I electric anesthesia instrument was used to apply density wave.,Energize the three groups with electro-acupuncture,and the intensity of the energization is to the extent that the patient can feel it.Once a day,7 days of treatment is a course of treatment,4 courses of treatment.The H-B Facial Nerve Function Grading Scale,Portmann Score Scale and Blink Reflex were used as observation indicators.The clinical efficacy of the three groups of patients was evaluated and compared according to the value of each component before and after treatment,and the data obtained were statistically analyzed using software SPSS25.0.Results:1.H-B classification: Before treatment,there was no significant difference between the three groups of patients,and they were comparable.After treatment,non-parametric tests were used to calculate the HB classification of the three groups of patients before and after treatment,and there were statistical differences(P<0.05),suggesting that the three treatment methods are effective in the treatment of facial neuritis in the recovery period.After treatment,the HB classification of the three groups of patients is divided by the group The difference was statistically significant(P<0.05).Further pairwise comparisons showed that the treatment group was better than the control group I and the control group II in improving the HB classification,and the treatment group was better than the control group II,both P<0.05 It is statistically significant,suggesting that acupuncture on both sides of the representative area combined with conventional acupuncture has a significant effect in improving HB grading.2.Portmann score: Before treatment,the difference in Portmann score of the three groups of patients before treatment was compared by one-way analysis of variance,which was not statistically significant and comparable.After treatment,the scores of patients in the three groups were improved compared with before treatment,which was statistically significant(P<0.05),indicating that the three treatment methods were effective in improving Portmann score,and the differences between the groups were statistically significant(P<0.05).After further multiple comparisons,there was no significant difference between the control group I and the control group II.The treatment group compared with the control group I and the control group II,P < 0.05,the difference was statistically significant,suggesting that the improvement of Portmann On the score,there is no significant difference between the control group I and the control group II,and the treatment group is better than the control group I and control group II.3.Blink reflex latency amplitude: Before treatment,after single-factor analysis of variance,there was no significant difference in blink reflex latency amplitude between the three groups of patients,and they were comparable.After treatment,the amplitudes of the blink reflex latency of the three groups were all shorter than before treatment,and the difference was statistically significant(P<0.05),indicating that the three methods are effective in shortening the blink reflex latency.The difference in the amplitude of the latency of the eye reflex between the groups was statistically significant(P<0.05).After multiple comparisons afterwards,the amplitude of the latency of the blink reflex in the treatment group was significantly shorter than that of the control group I and the control group II,and there was a statistical difference(P < 0.05),there is no significant difference between the control group I and the control group II,indicating that the treatment group is better than the control group I and the control group II in reducing the amplitude of the blink reflex latency.4.Comparison of clinical efficacy: the total effective rate of the control group I was 60.61%,the total effective rate of the control group II was73.53%,and the total effective rate of the treatment group was 82.35%.The rank sum test shows that P<0.05,the difference is statistically significant.Further pairwise comparisons,the treatment group is compared with the control group I and the control group II,and the control group II is compared with the control group I.P<0.05,the difference is statistically significant.The scientific significance indicates that the overall curative effect of the treatment group is better than the control group I and the control group II,and the control group II is better than the control group I.Conclusion:1.Conventional acupuncture,acupuncture on the representative area of the healthy side combined with conventional acupuncture and acupuncture on the representative area of the bilateral side combined with conventional acupuncture can significantly improve the recovery of facial nerve function and shorten the blink reflex in patients with facial neuritis during the recovery period.The amplitude of the incubation period has a positive effect.2.Acupuncture on the representative area of both sides combined with conventional acupuncture has a definite curative effect in the treatment of facial neuritis at the recovery stage,which is better than conventional acupuncture and acupuncture on the representative area of the healthy side combined with conventional acupuncture,and acupuncture on the representative area of the healthy side Combined with conventional acupuncture,the curative effect is better than that of conventional acupuncture.