A Randomized Controlled Clinical Study Of Bell's Palsy Based On The Three-prick Method Of The Gluten Theory

ObjectIn order to seek a new effective acupuncture method for the treatment of Bell's Palsy,a randomized controlled trial was carried out to evaluate the therapeutic efficiency of the three-depth acupuncture therapy based on aponeurotic system.Medthod16 patients meeting the inclusion and exclusion criteria were randomly divided into two groups,6 cases in the treatment group and 10 cases in the control group,and the single blind was carried out.The treatment group was treated with three-depth acupuncture therapy based on aponeurotic system.The main points:Yangbai,1 cun straight up Cuanzhu,l cun straight up Sizhukong,Sibai,Taiyang,Dicang,two points 0.5 cun up and below Dicang,Jiache,Qianzheng,Quanliao,Fengchi,Yifeng on the affected side.Hugu and Taichong on both sides.Auxiliary points:Shuigou,Yingxiang,Jingming,Shangming,Zusanli.Manipulation:Skin penetration about 1 cun deep was performed in acute period.The needdle was punctured about 2 cun deep to superficial fascia in subacute period and about 3 can deep to middle muscle layer in recovery period.Yifeng was punctured about 0.5 cun and Fengchi about 1.2 cun.No needlig manipulation was performed.Hegu and Taichong were punctured about 0.5 cun.An reducing method by twisting was applied in acute and subacute periods and a uniform reinforcing-reducing method was applied in recovery period.The control group with treated with conventional acupuncture therapy.The needles were retained 20 minutes every time with red light.Treatment of each group was peformed once a day and 5 times a week for four weeks.House-Brackmann facial nerve grading system,Contralateral facial paralysis itself against rating scale and Facial disability index were applied to evaluate the therapeutic efficiency after each treatment course and 1 and 3 months follow-up.There is one case of a patient falling off in treatment group.Statistical analysis of the data of 15 patients was conducted with SPSS20.0.Result1 There were not significiant difference between the groups in gender,age,course of disease and scores of House-Brackmann facial nerve grading system,Contralateral facial paralysis itself against rating scale and Facial disability index before treatment(P>0.05).2 House-Brackmann facial nerve grading system:There were not significiant difference before and after treatment in H-B grade of both groups(P>0.05).There were not significiant difference between the two groups in H-B grade after treatment(P>0.05).There were significiant difference before and after treatment in H-B score of both groups(P<0.05 or P<0.01).There were not significiant difference between the two groups in H-B score after treatment(P>0.05).Time has an impact on the H-B score(P<0.01).Treatment has no obvious impact on the H-B score(P>0.05).H-B score of treatment group after 4 courses of treatment were significiantly different from that before and after 1,2,3 courses of treatment(P<0.05).H-B score of control group after 2 courses,3 courses and 4 courses were significiantly different from those before treatment(P<0.05).Score differences between 2courses and lcourse,3 courses and 1 courses,3 courses and 2 courses were also significiant(P<0.05).3 Contralateral facial paralysis itself against rating scale:There were significiant difference before and after treatment in scores of both groups(P<0.01).There were not significiant difference between the two groups in scores after treatment(P>0.05).Time has an impact on the scores(P<0.01).Treatment has no obvious impact on the scores(P>0.05).Score of treatment group after 2 courses,3 courses and 4 courses of treatment were significiantly different from that before treatment(P<0.05).Score differences of treatment group between 3 courses and 1 course,4 courses and lcourse,4 courses and 2courses were also significiant(P<0.05).Score of control group after 2 courses,3 courses and 4 courses were significiantly different from that before treatment(P<0.05).Score differences of control group between 3 courses and 1 course,4 courses and 1course were also significiant(P<0.05).4 Facial disability index:There were significiant difference before and after treatment in FDI scores of both groups(P<0.05 or P<0.01).There were not significiant difference between the two groups in FDI scores after treatment(P>0.05).Time has an impact on FDI scores(P<0.01).Treatment has an impact on FDI scores(P<0.05).FDI score of treatment group after 2 courses,3 courses and 4 courses of treatment were significiantly different from that before treatment(P<0.05).FDI score of control group after 2 courses,3 courses and 4 courses were significiantly different from that before treatment(P<0.05).5 Recory speed of facial nerve branches:Scores of Buccal branch and marginal mandibular branch were higest while scores of zvgomatic branch were lowest before treatment.After treatment,scores of Buccal branch and marginal mandibular branch and temporal branch were equal and lower than that of zvgomatic branch.Conclusion1 Both three-depth acupuncture therapy based on aponeurotic system and conventional acupuncture therapy are effective for the treatment of Bell's Palsy.2 Three-depth acupuncture therapy based on aponeurotic system and conventional acupuncture therapy have equivalent efficacy in the treatment of Bell's Palsy.3 Recovery speed of Buccal branch,marginal mandibular branch and temporal branch was faster than zygomatic branch.4 The efficacy of Three-depth acupuncture therapy based on aponeurotic system needs further better-designed big sample clinical trials to evaluate.