Curative effect of auricular acupuncture in auxiliary treatment of acute peripheral facial paralysis
Objective To explore the effect of auricular acupuncture in the auxiliary treatment of acute peripheral facial paralysis(PFP).Methods A total of 94 patients with acute PFP were randomzied 1∶1 to receive conventional Western medi-cine(CWM,the control group)or auricular acupuncture plus CWM(the treatment group).A 4-week treatment was performed in the both groups,aiming to compare treatment effects,the conduction velocity of facial nerves,and infrared thermal imaging(the temperature of the forehead area,the ear area,the corner of the mouth,the zygomatic area and the affected side),and the modified Portmann scale(MPS)for facial paralysis,Facial Disability Index(FDIP)score,the level of immuno-inflammatory indexes(immunoglobulin[IgA],IgM,IgG,interleukin-6[IL-6],IL-21),and the World Health Organization Quality of Life Brief(WHOQOL-BREF)score before and after treatment.After 1-year followed up,the recurrence rates of the two groups were statistically compared.Results The total effective rate of the treatment group was higher than that of the control group(95.74%[45/47]vs 80.85%[38/47],P<0.05).On weeks 1,2,3,and 4,the conduction velocity of facial nerve in the both groups was significantly elevated than that before treatment(P<0.05),especially in the treatment group(P<0.05).On weeks 1,2,3,and 4,the temperature of the forehead area,the ear area,the angle of mouth area and the affected area in the both groups were significantly higher than those before treatment,and the increase was more common in the treatment group relative to the control group(P<0.05).On weeks 1,2,3,and 4,the temperature of the zygomatic zone in the both groups was significantly higher than before treatment(P<0.05),but there was no significant difference between the two groups(P>0.05).On weeks 1,2,3,and 4,the scores of MPS and FDIP in the both groups were significantly higher than those before treatment(P<0.05),and the improvments were more pro-nounced in the treatment group compared to the control group(P<0.05).After treatment,the serum levels of IgA,IgM,IgG,IL-6 and IL-21 in the both group were significantly lower than those before treatment(P<0.05),and the treatment group was superior to the control group(P<0.05).The domain scores of WHOQOL-BRFF in the both groups were significantly higher than those before treatment(P<0.05),and the scores in the treatment group were significantly higher than those in the control group(P<0.05).The recurrence rate in the treatment group was similar to the control group(P>0.05).Conclusion The use of auricular acupuncture therapy in the auxiliary treatment of acute PFP can significantly improve the treatment effect,and further improve the recovery of the patient's facial muscles,effectively improve the patient's facial temperature,nerve function and conduction velocity of facial nerve.It is capable of effectively inhibiting immune inflammatory damage,reducing the recur-rence rate,and helping improve the patient's prognosis.
Acute peripheral facial paralysisIntegrated traditional Chinese and western medicineAuricular acupunc-ture therapySymptom improvementQuality of lifeRelapse
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