Department of Clinical Korean Medicine, Graduate School, Kyung Hee University, Dongdaemun-gu, Seoul, Republic of Korea.
Department of Acupuncture & Moxibustion, Kyung Hee University Hospital, Gangdong-gu, Seoul, Republic of Korea.
Medicine (Baltimore). 2023 Feb 3;102(5):e32773. doi: 10.1097/MD.0000000000032773.
The purpose of this study was to investigate the clinical effect and safety of thread embedding acupuncture (TEA) in patients with facial nerve palsy sequelae. This was a retrospective observational study on 82 patients treated with TEA from January 2021 to May 2022. The Facial Disability Index (FDI) reported by patients and Sunnybrook Facial Grading System scores assessed by clinical practitioners were used to evaluate the intensity of facial movements, functional problems, and psychosocial status. One-way repeated measure analysis of variance showed that the Sunnybrook Facial Grading System scores improved significantly following the 2nd to 6th TEA treatments (Txs). FDI scores also showed significant increases except for the 4th Tx. Additionally, the physical scores improved significantly among the subscales of FDI, but the social/well-being scores did not. There were no reported serious adverse events or adverse events requiring medical Tx. TEA is a safe Tx that has a clinically cumulative effect, in terms of patient-oriented self-assessment of functional problems and objective facial movements, for treating facial nerve palsy sequelae.
本研究旨在探讨埋线针灸（TEA）治疗面神经麻痹后遗症的临床疗效和安全性。这是一项回顾性观察研究，共纳入 2021 年 1 月至 2022 年 5 月接受 TEA 治疗的 82 例患者。采用患者报告的面部残疾指数（FDI）和临床医生评估的桑尼布鲁克面部分级系统（Sunnybrook Facial Grading System，SFGS）评分来评估面部运动的强度、功能问题和社会心理状况。单因素重复测量方差分析显示，SFGS 评分在第 2 至 6 次 TEA 治疗后显著改善（Tx）。FDI 评分也显著增加，除了第 4 次 Tx。此外，FDI 各亚量表的躯体评分显著改善，但社会/幸福感评分没有改善。未报告严重不良事件或需要医疗 Tx 的不良事件。TEA 是一种安全的治疗方法，在患者自我评估功能问题和客观面部运动方面具有临床累积效应，可用于治疗面神经麻痹后遗症。
