| Objective: To observe the changes of signs and symptoms integral and electro Physiological parameters of peripheral facial paralysis treated by acupuncture combined “Long Fu Qian Zheng Tang”. To investigate the therapeutic mechanism and clinical effect of the therapy. To Provide the theory and clinical basis for facial Paralysis treated by clinical.Method: The research method used in the randomized and controlled method. The 80 patients with peripheral facial paralysis were outpatients in Hebei medical university college of traditional Chinese Medicine, who were randomly divided into treatment group and control group, 40 cases in each group. The patients in the treatment group were treated with acupuncture, acupoints: Di Cang, Jia Che, Tai Yang, Yi Feng, Xia Guan, Quan Liao, Zu San Li, He Gu. Shallowing of the nasolabial groove increase Ying Xiang. Skewing of the nasolabial sulcus increase Kou He Liao. To treat the difficult of raise the eyebrows by increaseing Cuan Zhu, Skewing of the chin groove increase Cheng Jiang. Zu San Li and He Gu choose on both sides. The rest of the acupuncture points chose the damaged side. By utilizing the method of nourishing ping xie. Moderate stimulus. Retaining needle 30 minutes. One times a day. “Long Fu Qian Zheng Tang”: Dilong 12 g Baifuzi 9g Quanxie 6g Jiangcan 9g Chuanxiong 12 g Baizhi 10 g Gancao 6g. Patients with cold increase Jingjie10 g Fangfeng 10g; Patients with hot wind increase Gegen12 g Jinyinhua 15 g Banlangen 10 g. This medicine decocting method is a small fire decoction for 30 minutes, Patients drink 150 ml Chinese medicine respectively every morning and evening, one times a day. The control group chose points and operation method same as the treatment group and control group treatment is the same: 10 times for a period of treatment, 2 days off during each period of treatment. To summarize curative effect after three course. Then observe the changes of Signs and symptoms integral, clinical curative effect and amplitud of facial nerve conduction, latency of blink reflex(RI). Signs and symptoms integral and Clinical curative was formulated by refering to China union medical university press release of the clinical common disease diagnosis and treatment standards in 1993. The method of checking of amplitud of facial nerve conduction: Contact with the ground wire on the side of the arm.Stimulating electrode on the facial nerve from mastoid stem near the hole to come out. Recording electrodes on the orbicularis oculi muscle. To stimulate by amplitude of 0.2ms, pulse current of 1 times/S, Strength is increased to cause the maximum amplitude of motor conduction evoked potentials. To measure it at beginning of amplitude of evoked potential. Measuring health side and then measure the damage. Method of checking of latency of blink reflex(RI): Contact with the ground wire on the side of the arm, Stimulating electrode on both sides of the orbital nerve. To stimulate with volatility of the width of 0.2 ms, pulse current of 1 / s of frequency. Strength is increased to cause maximum amplitude(RI) as the standard. Choosing a stable waveform by measured amplitude RI the shortest incubation period. Select the stable waveform to measure the amplitude(RI) of the shortest incubation period. Data were analyzed with SPSS13.0 software, count data using X2 test, rank sum test with hierarchical data, measurement data were compared with t test.Results: General information: There were no significant differences in sex, age, course, affected side in both groups(P>0.05), the study iscomparable; Comparison of Signs and symptoms integral: Before the treatment, there was no significant difference between the two groups(P>0.05), The study was comparable. Comparison of the two groups, the pre-treatment and post-treatmentshowed significance difference: treatment group(P<0.01), control group(P<0.05). After the treatment,there was significant difference between the two group(P<0.05), which showed that they both reduced the signs and symptoms integral, but and the treatment group was more superior than the control group; Comparison of clinical effect: The treatment group: 15 cases healed completely, 16 cases had marked effect, 8cases had effect, 1 cases had no effect, so the cure rate was 97%. the control group: 10 cases healed completely, 13 cases had marked effect, 12 cases had effect, 5 cases had no effect, so the cure rate was 87%. There was significant difference between the two group(P<0.05), but the treatment group was more superior than the control group; Comparison of amplitude of facial nerve conduction: Before the treatment, there was no significant difference between the two groups(P>0.05), the study was comparable. Comparison of the two groups, the pre-treatment and post-treatment showed significance difference: treatment group(P<0.01), control group(P<0.05). After the treatment, there was significant difference between the two group(P<0.05), which showed that they both im Proved the amplitude of facial nerve conduction, but the treatment group was more superior than the control group; Comparison of the latency of blink reflex(RI): Before the treatment, there was no significant difference between the two groups(P>0.05), the study was comparable. Comparison of the two groups, the pre-treatment and post-treatment showed significance difference(P<0.05). After the treatment, there was significant difference between the two group(P<0.05). which showed that they both shortened thelatency of blink reflex(RI), but the treatment group was more superior than the control group.Conclusion: Acupuncture combined with“Long Fu Qian Zheng Tang” had definite clinical effect in treating peripheral facial paralysis, better than simple acupuncture. “Long Fu Qian Zheng Tang” can improve the therapeutic effect of facial paralysis significantly, with acupuncture had synergy. Compared with simple acupuncture, acupuncture combined with“Long Fu Qian Zheng Tang” can improve the symptoms of patients with facial paralysis obviously. It also can improve velocity(amplitude)of facial nerve conduction, reduce the latency of Blink reflex(RI) and promote the recovery of facial nerve function. |
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