Clinical Effect of Press Needle Combined with Acupuncture and Acupoint Injection in Treatment of Peripheral Facial Paralysis in Acute Stage
Objective To investigate the clinical effect of press needle combined with acupuncture and acupoint injection in the treatment of peripheral facial paralysis in acute stage.Methods A total of 60 patients in the acute stage of peripheral facial pa-ralysis were randomly divided into treatment group and control group,with 30 patients in each group.The patients in the con-trol group received acupoint injection combined with acupuncture at ipsilateral Yangbai,Zanzhu,Yifeng,Wangu,Xiaguan,Qianzheng,Taiyang,Quanliao,Yuyao,Dicang,Jiache,Chengjiang,and Yingxiang points and bilateral Zusanli and Hegu points once a day,and those in the treatment group received press needle therapy at the same acupoints in addition to the treat-ment in the control group.Each course of treatment was 1 week (6 days of treatment and 1 day of rest),and both groups were treated for 3 courses.After treatment,the two groups were compared in terms of the changes in House-Brackmann (H-B) score,facial disability index (FDI),the serum levels of hypersensitive C-reactive protein (hs-CRP),procalcitonin (PCT),and albumin (Alb),and the ratio of average root mean square(RMS)values of surface electromyography for frontal,buccinator,and orbicularis oris muscle groups before and after treatment,as well as the clinical outcome.Results After treatment,both groups had significant reductions in H-B score and FDIS score (P<0.05)and a significant increase in FDIP score (P<0.05),and compared with the control group,the treatment group showed significantly greater reductions in H-B score and FDIS score and a significantly greater increase in FDIP score (P<0.05);both groups had significant reductions in the serum levels of hs-CRP and PCT and a significant increase in the serum level of Alb (P<0.05),and compared with the control group,the treat-ment group showed significantly greater reductions in hs-CRP and PCT and a significantly greater increase in Alb (P<0.05);both groups had significant increases in the ratio of average RMS values of surface electromyography for frontal,buccinator,and orbicularis oris muscle groups (P<0.05),and the treatment group had significantly greater increases than the control group (P<0.05).The treatment group had a significantly better treatment outcome than the control group (P<0.05).Conclusion Pressneedle combined with acupuncture and acupoint injection can promote the functional recovery of facial nerves and improve the prognosis of patients in the acute stage of peripheral facial paralysis.
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