Industry-Academic Cooperation Foundation, Kyung Hee University, Seoul, Republic of Korea.
Department of Acupuncture & Moxibustion, Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea.
Medicine (Baltimore). 2022 Nov 25;101(47):e31507. doi: 10.1097/MD.0000000000031507.
Although thread embedding acupuncture (TEA) is widely used for facial nerve palsy (FNP) in Korea, it lacks clinical evidence. Therefore, a large-scale and long-term clinical trial is needed. It is necessary to standardize and optimize TEA treatment for clinical study. Hence, we collected information about how TEA in the facial region is performed in clinical practice using a web-based survey. A questionnaire was developed consisting of 22 essential items and 30 optional items including demographic characteristics, purpose of TEA, adverse events (AE), direct medical cost, required time, and current state of TEA treatment on FNP. The questionnaire was sent via e-mail to 23,910 traditional Korean medicine doctors (TKMD). A total of 427 respondents answered the questionnaire. The most common response for the purpose for TEA was cosmetic, followed by musculoskeletal disease and nervous system disease. The most common AE that resolved without medical treatment was bruising (90.4%). The most common AE that required medical treatment was dimple (30.5). Many respondents commonly used TEA for the sequelae of FNP (71.8%). The most frequent sequelae of FNP for which TEA was used as contracture around the mouth (75.3%). The most preferred treatment method was insertion of 6-10 monofilament threads using a 29-gauge needle at intervals of 2.2 ± 1.59 weeks in the sequelae period. The results of this survey can be used to standardize and optimize the procedure of TEA for FNP for further clinical research.
尽管在韩国，埋线针灸（TEA）被广泛用于治疗面神经麻痹（FNP），但其缺乏临床证据。因此，需要进行大规模和长期的临床试验。有必要对 TEA 治疗进行标准化和优化，以用于临床研究。因此，我们使用基于网络的调查收集了有关 TEA 在面部区域的临床实践中的应用信息。问卷由 22 个基本项目和 30 个可选项目组成，包括人口统计学特征、TEA 目的、不良事件（AE）、直接医疗费用、所需时间以及 FNP 时 TEA 治疗的当前状态。问卷通过电子邮件发送给 23910 名传统韩国医学博士（TKMD）。共有 427 名受访者回答了问卷。TEA 目的最常见的回答是美容，其次是肌肉骨骼疾病和神经系统疾病。无需治疗即可解决的最常见 AE 是瘀伤（90.4%）。最常见需要治疗的 AE 是酒窝（30.5%）。许多受访者通常将 TEA 用于 FNP 的后遗症（71.8%）。FNP 后遗症中最常使用 TEA 的是口角周围挛缩（75.3%）。最常使用的治疗方法是在后遗症期每隔 2.2 ± 1.59 周使用 29 号针插入 6-10 根单丝线。本调查的结果可用于标准化和优化 FNP 的 TEA 治疗程序，以进行进一步的临床研究。
