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疏密波电针治疗急性面瘫患者的疗效观察

Efficacy of Electroacupuncture with Sparse-Dense-Wave on Patients Suffered Acute Facial Paralysis.

作者信息

Zhang Hao, Chen Fan

机构信息

Department of Traditional Chinese Medicine, People's Hospital of Dongxihu District, Wuhan, Hubei, 430040, People's Republic of China.

出版信息

Clin Cosmet Investig Dermatol. 2023 Jul 17;16:1811-1819. doi: 10.2147/CCID.S405569. eCollection 2023.

Abstract

OBJECTIVE

To explore the efficacy of electroacupuncture (EA) with sparse-dense wave form on the improvement of facial nerve edema, facial spasm, and repair of nerve injury in patients with acute facial paralysis.

METHODS

This study enrolled 100 patients who were treated for acute facial paralysis in People's Hospital of Dongxihu District from December 2019 to December 2020. They were randomly divided into the control group (continuous wave) and the sparse-dense wave group (sparse-dense wave), following by being intervened by EA with different wave forms. Then the facial disability index (FDI) score, serum levels of immunoglobulin A (IgA), immunoglobulin G (IgG), and immunoglobulin M (IgM) in the two groups were evaluated.

RESULTS

The total effectiveness rate (98.00% and 86.00%, respectively; < 0.05) and the recovery rate of facial spasm (76.00% and 56.00%, respectively; <0.05) in the sparse-dense wave group was both significantly higher than that of the control group. After treatment, the scores of physical functions of patients in both groups increased (P < 0.05), the scores of social/well-being dysfunctions decreased ( < 0.05). Besides, the levels of serum IgA, IgG, and IgM in both groups decreased ( < 0.05), and the serum levels in the sparse-dense wave group were significantly lower than the control group ( < 0.05).

CONCLUSION

EA intervention with sparse-dense wave form is effective for patients with acute facial paralysis, in that it effectively reduced the occurrence of facial spasm and promoted the improvement of edema and repair of nerve injury.

摘要

目的

探讨疏密波电针(EA)对急性面神经麻痹患者面神经水肿改善、面部痉挛及神经损伤修复的疗效。

方法

本研究纳入2019年12月至2020年12月在东西湖区人民医院接受急性面神经麻痹治疗的100例患者。将他们随机分为对照组(连续波)和疏密波组(疏密波),然后采用不同波形的电针进行干预。随后评估两组的面部残疾指数(FDI)评分、血清免疫球蛋白A(IgA)、免疫球蛋白G(IgG)和免疫球蛋白M(IgM)水平。

结果

疏密波组的总有效率(分别为98.00%和86.00%;P<0.05)和面部痉挛恢复率(分别为76.00%和56.00%;P<0.05)均显著高于对照组。治疗后,两组患者的身体功能评分均升高(P<0.05),社会/生活功能障碍评分降低(P<0.05)。此外,两组血清IgA、IgG和IgM水平均降低(P<0.05),且疏密波组血清水平显著低于对照组(P<0.05)。

结论

疏密波电针干预对急性面神经麻痹患者有效,可有效减少面部痉挛的发生,促进水肿改善和神经损伤修复。

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