Clinical Observation on the Treatment of Bell's Palsy in Acute Stage by Acupuncture
Objective:To investigate the clinical efficacy of acupuncture in the treatment of Bell's palsy in acute stage using musculoskeletal ultrasonography.Methods:60 patients with Bell's palsy in acute stage were di-vided into an observation group and a control group according to random number table method,with 30 cases in each.The observation group received conventional acupuncture treatment,while the control group received conven-tional drug treatment.Acupuncture was administered four times a week,continuing until the end of the 28th day of illness.The total effective rate,changes in nerve diameter under musculoskeletal ultrasound,House-Brackmann(H-B)scale grading,and Facial Disability Index(FDI)were observed and compared between the two groups be-fore and after treatment.Results:After treatment,the total effective rate for the observation group was 93.33％,which was significantly higher than 76.67％of the control group(P＜0.05).Additionally,there was a reduction in facial nerve diameter in both groups after treatment;however,this reduction was more significant in the affected fa-cial nerve of the observation group(P＜0.05).Both groups showed improvement in H-B score and FDI score after treatment(P＜0.05),with greater improvement observed in the observation group compared with the control group(P＜0.05).Conclusion:Acupuncture demonstrates precise efficacy in treating Bell's palsy in acute stage and can significantly improve clinical symptoms.Furthermore,this study confirms that measuring diameter of facial nerves can serve as an objective evaluation method for assessing degree of Bell's palsy.
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