Study on the efficacy of warm acupuncture combined with prednisone acetate in treatment of acute peripheral facial paralysis
Objective To observe the efficacy of warm acupuncture combined with prednisone acetate in treatment of acute peripheral facial paralysis(APFP).Methods A total of 92 patients with APFP were randomly divided into control group and observation group,with 46 cases in each group.Control group was treated with oral prednisone acetate,while observation group was treated with warm acupuncture on the basis of control group.The efficacy,recovery time,recovery time,facial disability index(FDI)-social and somatic scores,House-Brackmann facial nerve function classification(H-B),M wave amplitude of expression muscle on the affected side,and immune indexes(CD3+,CD4+,and CD8+percentages)were compared between the two groups.Results After treatment,the total effective rate of observation group was higher than that of control group(P<0.05);the recovery time and recovery time of observation group were shorter than those of control group(P<0.05);the symptom scores of both groups were lower than those before treatment,which were lower in observation group than control group(P<0.05);the FDI-social score of both groups was lower than that before treatment,which was lower in observation group than control group,while the FDI-somatic score and the M wave amplitude of the affected expressive muscle in both groups were lower than those before treatment,which were lower in observation group than control group(P<0.05);the H-B rating of both groups was lighter than that before treatment,which was lower in observation group than control group(P<0.05);the CD3+and CD44 in both groups were higher than those before treatment,while CD8+was lower,and the above indicators were superior in observation group to those in control group(P<0.05).Conclusion Warm acupuncture combined with prednisone acetate has good efficacy in treatment of APFP,which can improve the function of facial nerve and facial expression muscle,and regulate immune function.