Öksüz Canan Ertemoğlu, Kalaycıoğlu Ahmet, Uzun Özlem, Kalkışım Şahi Nur, Zihni Nihat Burak, Yıldırım Ahmet, Boz Cavit
Karadeniz Technical University, Department of Anatomy, Health Sciences Institute, Turkey.
Biruni University, Department of Anatomy, Faculty of Medicine, Turkey.
J Acupunct Meridian Stud. 2019 Aug;12(4):122-130. doi: 10.1016/j.jams.2019.03.001. Epub 2019 Apr 1.
This study was planned to evaluate the effectiveness of acupuncture treatment for the treatment Bell's palsy sequelae. In this study, forty patients with Bell's palsy sequelae were randomly allocated to either the acupuncture or the control group. The clinical outcomes before and after treatment were assessed using the following assays: the facial nerve compound motor action potential and HouseeBrackmann (HB) and Sunnybrook (SB) grading scales. Agreement analysis was performed between the SB and HB grading scales. There was significant difference between pretreatment and posttreatment compound motor action potential values of the patients within the acupuncture group (p = 0.036). In pretreatment and posttreatment SB and HB scores, significant differences within the two groups were observed. However, the significance level in the improvement rate in the acupuncture group was higher than that of the control group. General agreement between the SB and HB scores of groups was an acceptable value, and weighted agreement between the scales was a moderate agreement. In this study, we found that acupuncture treatment is effective in improving Bell's palsy sequelae. Acupuncture can be used as a safe method in the treatment of Bell's palsy sequelae.
本研究旨在评估针刺治疗贝尔面瘫后遗症的疗效。在本研究中,40例贝尔面瘫后遗症患者被随机分为针刺组或对照组。治疗前后的临床结局采用以下检测方法进行评估:面神经复合运动动作电位以及HouseeBrackmann(HB)和Sunnybrook(SB)分级量表。对SB和HB分级量表进行一致性分析。针刺组患者治疗前与治疗后的复合运动动作电位值存在显著差异(p = 0.036)。在治疗前和治疗后的SB和HB评分中,两组内均观察到显著差异。然而,针刺组的改善率的显著性水平高于对照组。两组的SB和HB评分之间的总体一致性为可接受值,量表之间的加权一致性为中度一致。在本研究中,我们发现针刺治疗对改善贝尔面瘫后遗症有效。针刺可作为治疗贝尔面瘫后遗症的一种安全方法。