Clinical observation of the treatment of peripheral facial paralysis by Thunder-fire moxibustion combined with traditional Chinese and western medicine therapy and nursing
Objective To observe the clinical efficacy of Thunder-fire moxibustion combined with traditional Chinese and western medical treatments and nursing interventions for peripheral facial paralysis.Methods Fifty inpatients and outpatients diagnosed with peripheral facial paralysis at Shanxi University of Chinese Medicine Acupuncture Hospital from January 2017 to October 2018 were selected as the research subjects and randomly divided into a control group and a treatment group,with 25 cases in each group.The control group received conventional treatment and nursing for facial paralysis,while the treatment group received Thunder-fire moxibustion combined with effective nursing interventions on the basis of the treatment and nursing in the control group.The treatment and nursing were conducted for 5 consecutive days as one course,with a total of 2 courses:①Thunder-fire moxibustion:ignite the Thunder-fire moxibustion,keeping the moxa stick 2-3 cm away from the affected skin,and apply both transverse and longitudinal moxibustion methods.Press the skin at the moxibustion site with your finger every 10 times the moxa stick is shaken,and then use the circular method,selecting the acupoints Dicang,Jiache,Quanliao,and Yangbai,with a distance of 1.5 cm from the acupoints,moxibustion for each point for 8-10 minutes;②Acupuncture:select the affected side acupoints Yangbai,Quanliao,Taiyang,Dicang,Jiache,Jingming,Yingxiang,Sizhukong,Yuyao,and Touwei,and the contralateral Hegu and bilateral Zusanli.Retain the needle for 30 minutes after obtaining Qi,once daily;③Traditional Chinese medicine steaming:use the hospital's self-prescribed formula(composed of Cinnamomum cassia,Poria cocos,Carthamus tinctorius,Carica papaya,Angelica sinensis,Paeonia lactiflora,Spatholobus suberectus,and Saposhnikovia divaricata,each 15 g),decoct and pour the juice into the medicine addition area.The steaming temperature is 40-45℃,with the steaming nozzle 25-30 cm away from the affected side of the face,steaming for 20 minutes,once daily;④ Medication treatment:in the early stage,antiviral drugs such as acyclovir were given,and traditional Chinese medicine was mainly used to eliminate wind and phlegm,and to dredge meridians;⑤ Nursing intervention:during thunder-fire moxibustion,the flame should not touch the skin to prevent burns;combined acupoint pressing with massage techniques;paid attention to observation and inquire about the patient's feelings during moxibustion;after moxibustion,informed the patient that the blood vessels in the head and face were in a state of dilation,and that it was normal for the facial skin to turn red and itchy.Instructed patients to rest,exercised appropriately,avoided wind and cold,refrain from raw,cold,greasy foods,and avoid tobacco,alcohol,and spices,and taught them self-training exercises.The differences in efficacy scores,clinical efficacy,patient compliance rates,and satisfaction between the two groups were compared,and any adverse reactions were observed.Results After 2 courses of treatment and nursing,the clinical efficacy scores of both groups were significantly lower than those after 1 course of treatment and nursing,and the degree of reduction in the treatment group was more significant than that in the control group(1.12±0.88 vs.1.79±0.76,P<0.05).The total effective rate in the treatment group was higher than that in the control group[100.0%(25/25)vs.96.0%(24/25)],but the difference was not statistically significant(P>0.05),and the compliance rate was significantly higher than that in the control group[100.0%(25/25)vs.20.0%(5/25),P<0.05],with a satisfaction rate of 100.0%for both groups.No serious adverse events occurred in either group.Conclusions Thunder-fire moxibustion has sufficient medicinal strength,strong efficacy,and significant permeation effects,with simple operation.Combined with traditional Chinese and western medical treatments and nursing interventions,it shows satisfactory efficacy in the treatment of peripheral facial paralysis,with a short course of treatment,high patient compliance,satisfaction,and no adverse reactions.
Facial paralysisWind-cold blocking collaterals typeThunder-fire moxibustionTraditional Chinese medicine fumigationNursing of Traditional Chinese and western medicine
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