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Therapeutic observation on superficial needling with different frequencies for intractable facial paralysis

不同频率浮针治疗顽固性面瘫的疗效观察

  • Clinical Study
  • Published:
Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective: To obverse the therapeutic effect of superficial needling with different frequencies for intractable facial paralysis. Methods: A total of 120 patients with intractable peripheral facial paralysis were allocated into a superficial needling with high frequency group (150 times/min), a moderate frequency group (100 times/min) and a low frequency group (50 times/min) according to the random number table method. The Toronto facial grading system (TFGS) was used to evaluate facial nerve functions before treatment and after 2 weeks and 4 weeks of treatment respectively. The electromyography (EMG) test of the mandibular branch of facial nerve was used to compare the motor nerve conduction velocity (MCV), sensory nerve conduction velocity (SCV) and monophasic action potential (MAP) among different groups, and was done before treatment and after 4 weeks of treatment. The clinical efficacy was also compared.

Results: After 2 weeks and 4 weeks of treatment, the changes of TFGS scores in the three groups all showed statistical significance (all P<0.05), and the TFGS score in the low frequency group was substantially higher than that in the other two groups. After treatment, the changes of the MCV and SCV in the three groups all showed statistical significance (all P<0.05), and the results in the low frequency group were higher than those in the other two groups; the change of MAP in the three groups showed no statistical significance (P>0.05). The total effective rate was 65.0%, 80.0% and 95.0% in the high frequency group, moderate frequency group and low frequency group respectively, and the between-group differences showed statistical significance (P<0.05).

Conclusion: Compared with the superficial needling with high and moderate frequencies, superficial needling with low frequency can produce more significant clinical efficacy for intractable facial paralysis.

摘要

目的: 观察不同频率浮针治疗顽固性周围性面瘫的临床疗效。

方法: 将120例顽固性周围性面瘫患者按 随机数字表法分成浮针高频组(150次/min)、浮针中频组(100次/min)和浮针低频组(50次/min)。采用多伦多面部神 经功能分级法(TFGS)评价并比较各组治疗前、治疗2周和4周后的面神经功能。于治疗前和治疗4周后进行面神经 下颌支肌电图检查, 比较各组运动神经传导速度(MCV)、感觉神经传导速度(SCV)和动作电位(MAP)波幅。比较各 组的临床疗效。

结果: 治疗2周和4周后, 三组TFGS评分均存在统计学差异(均P&#xFF1C;0.05), 且浮针低频组得分高于其 他两组。治疗后, 三组MCV和SCV存在统计学差异(均P&#xFF1C;0.05), 且浮针低频组优于其他两组; 三组MAP波幅无统计 学差异(P>0.05)。浮针高频组、浮针中频组和浮针低频组的临床有效率分别为65.0%、80.0%和95.0%, 差异具有 统计学意义(P&#xFF1C;0.05)。

结论: 低频率浮针治疗顽固性周围性面瘫的临床疗效优于中频和高频, 可以达到更好的治 疗效果。

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Acknowledgments

This work was supported by Young Medical Science and Technology Talents Project of Health and Family Planning Commission of Xinjiang Autonomous Region (新疆自治区 卫生计生委青年医学科技人才项目, No. WJWY-201844).

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Authors and Affiliations

  1. Department of Acupuncture & Moxibustion, Urumqi Hospital of Chinese Medicine, Xinjiang Uygur Autonomous Region, Urumqi, 830000, China

    Tao Li  (李涛), Jing Ren  (任景) & Xin Peng  (彭新)

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  1. Tao Li  (李涛)
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  2. Jing Ren  (任景)
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  3. Xin Peng  (彭新)
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Correspondence to Tao Li  (李涛).

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Informed consent was obtained from the patients in this study.

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Li, T., Ren, J. & Peng, X. Therapeutic observation on superficial needling with different frequencies for intractable facial paralysis. J. Acupunct. Tuina. Sci. 17, 432–437 (2019). https://doi.org/10.1007/s11726-019-1146-3

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  • DOI: https://doi.org/10.1007/s11726-019-1146-3

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