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[Special penetration needling for refractory peripheral facial paralysis].
Zhongguo Zhen Jiu 2018; 38(3):269-72ZZ

Abstract

OBJECTIVE

To observe the clinical effect difference between special penetration needling and conventional penetration needling for the refractory peripheral facial paralysis.

METHODS

A total of 97 patients with intractable facial paralysis were randomized into an observation group (49 cases and 2 dropping) and a control group (48 cases and 4 dropping). In the observation group, special penetration needling at an angle about 45° between the penetration needle and paralysis muscle bundle was used, Yangbai (GB 14) through Touwei (ST 8), Yangbai (GB 14) through Shangxing (GV 23), Sizhukong (TE 23) through Yuyao (EX-HN 4), Qianzhen (Extra) through Yingxiang (LI 20), mutual penetration between Yingxiang (LI 20) and Jiache (ST 6). Conventional penetration needling was applied in the control group, Yangbai (GB 14) through Yuyao (EX-HN 4), Cuanzhu (BL 2) through Yuyao (EX-HN 4), mutual penetration between Dicang (ST 4) and Jiache (ST 6), Qianzheng (Extra) through Dicang (ST 4), Sibai (ST 2) through Yingxiang (LI 20). Three groups of electroacupuncture (discontinuous wave, 1 Hz) with tolerance were connected respectively in the two groups, Yangbai (GB 14) and Sizhukong (TE 23), Yangbai (GB 14) and Qianzheng (Extra), Yingxiang (LI 20) and Jiache (ST 6) in the observation group, Yangbai (GB 14) and Cuanzhu (BL 2), Dicang (ST 4) and Jiache (ST 6), Qianzheng (Extra) and Sibai (ST 2) in the control group. TDP was applied in the two groups at the affected Yifeng (TE 17), Jiache (ST 6) and Qianzheng (Extra), which were around the ear. Perpendicular insertion was used at Yifeng (TE 17) at the affected side and Hegu (LI 4) at the healthy side and bilateral Zusanli (ST 36). The needles were retained for 30 min. The treatment was given for 3 courses, once a day and 10 days as a course, 5 days at the interval. House-Brackmann (H-B) facial nerve grading score was recorded before and after treatment. The clinical effects were compared.

RESULTS

The H-B scores after treatment in the two groups were higher than those before treatment (both P<0.05), with better result in the observation group (P<0.05). The cured and markedly effective rate of the observation group was 74.5% (35/47), which was better than 47.7% (21/44) of the control group (P<0.01).

CONCLUSION

Special penetration needling at an angle about 45° between the penetration needle and paralysis muscle bundle is better than conventional penetration needling for refractory facial paralysis.

Authors+Show Affiliations

Department of Acupuncture and Moxibustion, Longyan People's Hospital, Longyan 364000, Fujian Province, China).Department of Acupuncture and Moxibustion, Longyan People's Hospital, Longyan 364000, Fujian Province, China).Department of Orthopedics and Traumatology, Longyan People's Hospital, Longyan 364000, Fujian Province, China.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

chi

PubMed ID

29701044

Citation

Cao, Rongjuan, et al. "[Special Penetration Needling for Refractory Peripheral Facial Paralysis]." Zhongguo Zhen Jiu = Chinese Acupuncture & Moxibustion, vol. 38, no. 3, 2018, pp. 269-72.
Cao R, Qiu X, Xie X. [Special penetration needling for refractory peripheral facial paralysis]. Zhongguo Zhen Jiu. 2018;38(3):269-72.
Cao, R., Qiu, X., & Xie, X. (2018). [Special penetration needling for refractory peripheral facial paralysis]. Zhongguo Zhen Jiu = Chinese Acupuncture & Moxibustion, 38(3), pp. 269-72. doi:10.13703/j.0255-2930.2018.03.010.
Cao R, Qiu X, Xie X. [Special Penetration Needling for Refractory Peripheral Facial Paralysis]. Zhongguo Zhen Jiu. 2018 Mar 12;38(3):269-72. PubMed PMID: 29701044.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Special penetration needling for refractory peripheral facial paralysis]. AU - Cao,Rongjuan, AU - Qiu,Xiaohu, AU - Xie,Xiaokun, PY - 2018/4/28/entrez PY - 2018/4/28/pubmed PY - 2018/8/16/medline KW - acupuncture KW - between the penetration needle and paralysis muscle bundle KW - conventional penetration needling KW - penetration at an angle about 45° KW - refractory peripheral facial paralysis KW - special penetration needling SP - 269 EP - 72 JF - Zhongguo zhen jiu = Chinese acupuncture & moxibustion JO - Zhongguo Zhen Jiu VL - 38 IS - 3 N2 - OBJECTIVE: To observe the clinical effect difference between special penetration needling and conventional penetration needling for the refractory peripheral facial paralysis. METHODS: A total of 97 patients with intractable facial paralysis were randomized into an observation group (49 cases and 2 dropping) and a control group (48 cases and 4 dropping). In the observation group, special penetration needling at an angle about 45° between the penetration needle and paralysis muscle bundle was used, Yangbai (GB 14) through Touwei (ST 8), Yangbai (GB 14) through Shangxing (GV 23), Sizhukong (TE 23) through Yuyao (EX-HN 4), Qianzhen (Extra) through Yingxiang (LI 20), mutual penetration between Yingxiang (LI 20) and Jiache (ST 6). Conventional penetration needling was applied in the control group, Yangbai (GB 14) through Yuyao (EX-HN 4), Cuanzhu (BL 2) through Yuyao (EX-HN 4), mutual penetration between Dicang (ST 4) and Jiache (ST 6), Qianzheng (Extra) through Dicang (ST 4), Sibai (ST 2) through Yingxiang (LI 20). Three groups of electroacupuncture (discontinuous wave, 1 Hz) with tolerance were connected respectively in the two groups, Yangbai (GB 14) and Sizhukong (TE 23), Yangbai (GB 14) and Qianzheng (Extra), Yingxiang (LI 20) and Jiache (ST 6) in the observation group, Yangbai (GB 14) and Cuanzhu (BL 2), Dicang (ST 4) and Jiache (ST 6), Qianzheng (Extra) and Sibai (ST 2) in the control group. TDP was applied in the two groups at the affected Yifeng (TE 17), Jiache (ST 6) and Qianzheng (Extra), which were around the ear. Perpendicular insertion was used at Yifeng (TE 17) at the affected side and Hegu (LI 4) at the healthy side and bilateral Zusanli (ST 36). The needles were retained for 30 min. The treatment was given for 3 courses, once a day and 10 days as a course, 5 days at the interval. House-Brackmann (H-B) facial nerve grading score was recorded before and after treatment. The clinical effects were compared. RESULTS: The H-B scores after treatment in the two groups were higher than those before treatment (both P<0.05), with better result in the observation group (P<0.05). The cured and markedly effective rate of the observation group was 74.5% (35/47), which was better than 47.7% (21/44) of the control group (P<0.01). CONCLUSION: Special penetration needling at an angle about 45° between the penetration needle and paralysis muscle bundle is better than conventional penetration needling for refractory facial paralysis. SN - 0255-2930 UR - https://www.unboundmedicine.com/medline/citation/29701044/[Special_penetration_needling_for_refractory_peripheral_facial_paralysis]_ L2 - http://www.diseaseinfosearch.org/result/5584 DB - PRIME DP - Unbound Medicine ER -