Objective: To discuss and analyze the clinical efficacy and prognostic effect of an electroacupuncture dilatational wave in acute-stage facial paralysis. Method: Sixty patients with acute facial paralysis who received treatment in the inpatient department of our hospital from April 2018 to January 2019 were randomly divided into two groups: a treatment group and a control group. Both groups were treated with the same procedures, such as antivirus, nerve nutrition, circulation improvement, anti-inflammatory, infrared radiation on the affected side, electroacupuncture in quiescent period and Chinese herbal decoction. Dilatational wave treatment was also performed in the treatment group in the acute stage, and the clinical efficacy and effect on prognosis were compared between the two groups. Results: The total effective rate of the treatment group was 96.7%, and the total effective rate of the control group was 70%. The difference in the level of efficacy between the two groups was statistically different (P < 0.05). Conclusions: For the acute stage of facial paralysis, patients who underwent conventional treatment using an electroacupuncture dilatational wave showed a significantly improved efficacy rate, as well as other clear advantages. The treatment is, therefore, worthy of further investigation.
BaughRFBasuraGJIshiiLESchwartzSRDrumhellerCMBurkholderRDe ckardNADawsonCDriscollCGillespieMBGurgelRKHalperinJKhalidANKumarKAMiccoAMunsellDRosenbaumSVaughanW.Clinical practice guideline: Bell's palsy. Otolaryngol Head Neck Surg.2013; 149: S1–27.
3.
Öksüz CE, Kalaycιoğlu A, Uzun Ö, Kalkιşm ŞN, ZihniNBYιldιrιmA, BozC.The Efficacy of Acupuncture in the Treatment of Bell's Palsy Sequelae. J Acupunct Meridian Stud.2019; 12: 122–130.
LiuZDHeJBGuoSSYangZXShenJLiXYLiangWShenWD. Effects of electroacupuncture therapy for Bell's palsy from acute stage: study protocol for a randomized controlled trial. Trials.2015; 16: 378.
State Administration of traditional Chinese Medicine. [TCM diagnosis and treatment plan of 95 diseases in 22 specialties] [M]. Beijing: State Administration of traditional Chinese Medicine, 2010:148–151.
10.
LiBSunXGuoJShuWChengYLiJ.Effectiveness comparisons of acupuncture treatments for Bell palsy in adults: A protocol for systematic review and Bayesian network meta-analysis. Medicine (Baltimore).2020;99(23) e20252.
11.
WuJJiaJPCuiLY. [Neurology] [M]. Beijing: People's Health Publishing House, 2010:8.
12.
GruenRWeeramanthriT., KnightSBailieR.Specialist outreach clinics in primary care and rural hospital settings (Cochrane Review). Community Eye Health.2006; 19: 31.
13.
ZhangRWuTWangRWangDLiuQ.Compare the efficacy of acupuncture with drugs in the treatment of Bell's palsy: A systematic review and meta-analysis of RCTs. Medicine (Baltimore).2019; 98: e15566.
14.
Chinese Academy of Chinese medicine, [Chinese Acupuncture Society. Guidelines for evidence-based clinical practice of traditional Chinese Medicine] [M]. Beijing: China traditional Chinese Medicine Press,2011.
15.
Gökçe KütükS, Özkan Y, TopuzMFKütü. M. The Efficacy of Electro-Acupuncture Added to Standard Therapy in the Management of Bell Palsy. J Craniofac Surg.2020; 31: 1967-1970.
16.
Alptekin DÖ. Acupuncture and Kinesio Taping for the acute management of Bell's palsy: A case report. Complement Ther Med. 2017; 35: 1–5.
17.
XuYYLiXYSunRHFangJQ. [Discussion on refractory factors of Bell's palsy and clinical experience in treatment]. Zhongguo Zhen Jiu. 2020; 40: 543–6.
18.
LiMZhuSSRuanJGWangYJXuTS. [Clinical observation on time-effect of electroacupuncture for idiopathic facial paralysis]. Zhongguo Zhen Jiu. 2019; 39: 1059–62.
19.
ChenYZhengXLiHZhangQWangT.Effective acupuncture practice through diagnosis based on distribution of meridian pathways & related syndromes. Acupunct Electrother Res.2011;36 (1-2):1–18.
20.
LuDPLuGP. Anatomical relevance of some acupuncture points in the head and neck region that dictate medical or dental application depending on depth of needle insertion. Acupunct Electrother Res.2003;28 (3-4):145–56.
