Abstract：Objective: To analyze the clinical effect of dispelling pathogenic factors and purging solid needling on the recovery of facial muscle function in patients with facial neuritis. Methods: Seventy patients with facial neuritis admitted to our hospital from May 2019 to November 2021 were selected and divided by random number table method into 35 cases in the treatment group, which were treated with the dispelling pathogenic factors and purging solid needling, and 35 cases in the conventional group, which were treated with conventional traditional acupuncture. The clinical efficacy of the two groups was evaluated and compared by analyzing the H-B facial nerve function classification before and after treatment, and the changes in the Chinese medicine symptom and sign score, facial muscle strength and electromyography before and after treatment in the two groups were evaluated. Results: After treatment, the TCM symptom and sign scores (angle of mouth deviation, nasolabial fold depth, shrugging nose, cheek puffing and air leakage, food residue) decreased in both groups compared with the pre-treatment scores in the two groups ( P<0.05), while the decrease in the above scores in the treatment group was greater than that in the conventional group ( P<0.05); the facial muscle strength increased in both groups after treatment compared with the pre-treatment scores in the two groups ( P<0.05), while the increase in the treatment group was greater than that in the conventional group ( P<0.05); the latency of motor nerve conduction in the orbicularis oris and nasal muscles was reduced in both groups after treatment compared with that before treatment in the two groups ( P< 0.05), while the reduction in the treatment group was greater than that in the conventional group (P<0.05); the wave amplitude of nerve conduction in the orbicularis oris and nasal muscles was prolonged in both groups after treatment compared with that before treatment in the two groups ( P< 0.05), while the prolongation in the treatment group was greater than that in the conventional group (P<0.05). Conclusion: Dispelling pathogenic factors and purging solid needling method is more conducive to the improvement of facial muscle strength in patients with facial neuritis and promote functional recovery.
2023, Vol. 29 
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