| Objective: To collect related cases of peripheral facial paralysis by visiting the doctor,consulting the literature and conducting clinical studies,and then analyze and summarize Professor Zhao Xiaofeng’s clinical experience in treating Bell’s facial paralysis,including the understanding of etiology and pathogenesis,differentiation of symptoms and treatments,prescription medication rules,and acupuncture and moxibustion compatibility.Acupoints;collect information on patients with Bell’s facial paralysis,such as gender,age,onset solar terms,and visit time,and use the patient’s course of disease as the outcome index to analyze the impact of different influencing factors on the course of treatment of patients with peripheral facial paralysis.Methods: This study is a retrospective case-control study.Collected from Bell’s facial paralysis patients who attended the outpatient clinic of Professor Zhao Xiaofeng of the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from January 2019 to January 2021.According to the stage of the patient’s visit,a systematic comprehensive acupuncture and moxibustion treatment is performed,and information such as the patient’s gender,age,onset season,visit time,and TCM syndrome type of the onset location is recorded.Analyze and summarize Professor Zhao Xiaofeng’s clinical experience in treating Bell’s facial paralysis,and use the length of treatment received by the cured patients as the outcome index to analyze the impact of different influencing factors on the course of Bell’s facial paralysis.Results:(1)This study included 73 cases,28 males and 45 females;6 patients <20 years old,26 people 20-40 years old,27 people 40-60 years old,14 patients> 60 years old;46 patients in the acute phase Among them,13 were in the subacute stage,14 were in the recovery and sequelae stage;45 were with right-sided facial paralysis,28 were with left-sided facial paralysis;in terms of TCM syndrome,32 were with syndrome of wind-cold attack,17 with syndrome of wind-heat attack and phlegm resistance 11 persons had collateral syndrome and 13 persons had Qi deficiency and blood stasis syndrome.After treatment,45 patients had a shorter course of treatment and 28 patients had a longer course of treatment.(2)In the univariate analysis of factors influencing the length of treatment of Bell’s facial paralysis patients,age(Z value=-2.684),smoking history(X2 value=5.458),medical stage(X2 value=6.298),TCM syndrome type(X2 value=11.720)It may be related to the length of treatment(p<0.05).(3)In the logistic analysis of factors influencing the length of treatment of Bell’s facial paralysis patients treated by staged acupuncture and moxibustion therapy,the patient’s age(OR=1.062,95%CI=1.002-1.126),wind-cold attack syndrome(OR=4.217,95%CI= 1.029-17.283)),the two indicators are statistically significant(p value <0.05).Conclusion:(1)Professor Zhao Xiaofeng’s staged comprehensive acupuncture and moxibustion therapy for Bell’s facial paralysis has been clinically certified,with definite curative effect,safe and effective,and worthy of clinical promotion;(2)Bell’s facial paralysis occurs throughout the year,including women,middle-aged and elderly patients,and patients with right-sided facial paralysis.Most of the TCM syndromes are mainly wind-cold attacking collaterals syndrome;(3)Factors affecting the final course of treatment of Bell’s facial paralysis patients may include age,and TCM classification,elderly or patients with non-wind-cold attacking collaterals syndrome,and ultimately lead to the possibility of a long course of treatment higher.The relationship between gender,past history,history of smoking and drinking,stage of treatment,location of onset and other factors,and the course of treatment for patients with facial paralysis,needs more research to confirm. |
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