Clinical Observation of Dynamic Retention of Needles Based on"Knocking Teeth to Vegulate Qi"in the Treatment of Moderate-to-Severe Bell's Palsy During the Recovery Period
Objective:To observe the efficacy of dynamic retention of needles in the treatment of moderate-to-severe Bell's palsy during the recovery period.Methods:A total of 60 patients were randomly divided into the control group and the acupuncture group.The control group was treated with acupuncture for convalescent Bell's palsy recommended by the guidelines,and the acupuncture group was treated with"dynamic retention of needles"on this basis.Both groups received acupuncture treatment once a day,with 1 course of treatment every 6 times and totally 4 courses of continuous treatment.The House-Brackmann(HB)Facial Nerve Grading Scale scores,the mean healing time,the clinical healing rate,the degree of improvement in the symptoms of orofacial askewness,and the Facial Disability Index(FDI),as well as the incidence of adverse events were compared between the two groups at the end of the treatment,and 1 month after the end of the treatment.Results:After treatment and dur-ing follow-up,the cure rate and treatment duration until cure in the dynamic needle retention group were better than those in the control group at different time periods(P＜0.05).The differences in the distances between the bi-lateral oral corners and the midline of the incisors in both two groups were shortened,and it was more significant in the dynamic needle rentention group(P＜0.05).Both groups showed significant improvement in FID scores,with the improvement being more significant in the dynamic needle retention group(P＜0.05).Conclusion:Acu-puncture can safely and effectively improve the motor function of facial expression muscles in recovering,unilater-al,moderate-to-severe Bell's palsy patients."Dynamic retention of needles"can further shorten the course of the disease,increase the healing rate,and improve somatic and social life functions.Its efficacy can be further con-firmed by clinical studies with expanded sample size in the future.
Moderate to severe Bell's palsyRecovery periodDynamic retention of needlesAcupuncture
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