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[Clinical study on acupuncture intervention time for treatment of peripheral facial paralysis].
Zhongguo Zhen Jiu 2009; 29(5):357-60ZZ

Abstract

OBJECTIVE

To observe effects of intervention time of local acupuncture at the affected side on the facial nerve injury and the therapeutic effect at acute stage of peripheral facial paralysis.

METHODS

Two hundred and seventy-nine cases within 3 days of attack were randomly divided into 4 groups, group A (n=74), group B (n=70), group C (n=74) and control group (n=61). The 4 groups were treated with Prednisone on the third day after attack, and acupuncture was added in the group A, B and C, with Fengchi (GB 20), Yangbai (GB 14), Taiyang (EX-HN 5), Sibai (ST 2), Yingxiang (LI 20), etc. on the affected side and bilateral Hegu (LI 4) selected, and with superficial insertion method used for acupoints on the ear-face parts without manipulating the needles, and electroacupuncture was added from the fifth session of the treatment, and uniform reinforcing-reducing method was used for the distal acupoints selected. The needles were retained for 20 min and the treatment was given for 25 sessions, once other day. The therapeutic effects, the mean therapeutic courses for the cured patients and changes of electroneurography (ENoG) were compared among the groups.

RESULTS

The clinical total effective rate was 98.6%, 95.7%, 94.6% and 72.1% in the group A, B, C and the control group, respectively, with a significant difference (P < 0.05), and the therapeutic course for the cured patients increased in the order of the group A, B, C and the control group; and there was no significant difference among the 4 groups in changes of ENoG at the third day and the fourteenth day (both P > 0.05).

CONCLUSION

Acute stage is the best opportunity for acupuncture treatment of peripheral facial paralysis, and the earlier the intervention time, the better the therapeutic effect and the shorter the therapeutic course.

Authors+Show Affiliations

Department of Acupuncture and Moxibustion, Changning District Tianshan Hospital of TCM, Shanghai 200051, China. tianshanmiantan@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

chi

PubMed ID

19489490

Citation

Shen, Te-li, et al. "[Clinical Study On Acupuncture Intervention Time for Treatment of Peripheral Facial Paralysis]." Zhongguo Zhen Jiu = Chinese Acupuncture & Moxibustion, vol. 29, no. 5, 2009, pp. 357-60.
Shen TL, Cao LY, Zhang W, et al. [Clinical study on acupuncture intervention time for treatment of peripheral facial paralysis]. Zhongguo Zhen Jiu. 2009;29(5):357-60.
Shen, T. L., Cao, L. Y., Zhang, W., Li, Y., Wu, Q. H., Yao, M. J., & Gu, L. Y. (2009). [Clinical study on acupuncture intervention time for treatment of peripheral facial paralysis]. Zhongguo Zhen Jiu = Chinese Acupuncture & Moxibustion, 29(5), pp. 357-60.
Shen TL, et al. [Clinical Study On Acupuncture Intervention Time for Treatment of Peripheral Facial Paralysis]. Zhongguo Zhen Jiu. 2009;29(5):357-60. PubMed PMID: 19489490.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Clinical study on acupuncture intervention time for treatment of peripheral facial paralysis]. AU - Shen,Te-li, AU - Cao,Lian-ying, AU - Zhang,Wei, AU - Li,Yan, AU - Wu,Qing-hong, AU - Yao,Mei-jin, AU - Gu,Lu-yan, PY - 2009/6/4/entrez PY - 2009/6/6/pubmed PY - 2009/6/25/medline SP - 357 EP - 60 JF - Zhongguo zhen jiu = Chinese acupuncture & moxibustion JO - Zhongguo Zhen Jiu VL - 29 IS - 5 N2 - OBJECTIVE: To observe effects of intervention time of local acupuncture at the affected side on the facial nerve injury and the therapeutic effect at acute stage of peripheral facial paralysis. METHODS: Two hundred and seventy-nine cases within 3 days of attack were randomly divided into 4 groups, group A (n=74), group B (n=70), group C (n=74) and control group (n=61). The 4 groups were treated with Prednisone on the third day after attack, and acupuncture was added in the group A, B and C, with Fengchi (GB 20), Yangbai (GB 14), Taiyang (EX-HN 5), Sibai (ST 2), Yingxiang (LI 20), etc. on the affected side and bilateral Hegu (LI 4) selected, and with superficial insertion method used for acupoints on the ear-face parts without manipulating the needles, and electroacupuncture was added from the fifth session of the treatment, and uniform reinforcing-reducing method was used for the distal acupoints selected. The needles were retained for 20 min and the treatment was given for 25 sessions, once other day. The therapeutic effects, the mean therapeutic courses for the cured patients and changes of electroneurography (ENoG) were compared among the groups. RESULTS: The clinical total effective rate was 98.6%, 95.7%, 94.6% and 72.1% in the group A, B, C and the control group, respectively, with a significant difference (P < 0.05), and the therapeutic course for the cured patients increased in the order of the group A, B, C and the control group; and there was no significant difference among the 4 groups in changes of ENoG at the third day and the fourteenth day (both P > 0.05). CONCLUSION: Acute stage is the best opportunity for acupuncture treatment of peripheral facial paralysis, and the earlier the intervention time, the better the therapeutic effect and the shorter the therapeutic course. SN - 0255-2930 UR - https://www.unboundmedicine.com/medline/citation/19489490/[Clinical_study_on_acupuncture_intervention_time_for_treatment_of_peripheral_facial_paralysis]_ L2 - http://www.diseaseinfosearch.org/result/5584 DB - PRIME DP - Unbound Medicine ER -