Clinical study on tube moxibustion plus point-toward-point needling method in treating refractory facial paralysis
- VernacularTitle:管灸联合透刺法治疗难治性面瘫的临床研究
- Author:
Zhonghao XIONG
;
Xi ZHOU
;
Na SONG
;
Fengwei TIAN
;
Fuqing ZHANG
- Keywords:
Acupuncture Therapy;
Point-toward-point Needling Method;
Moxibustion Therapy;
Thermal Box Moxibustion;
Tube Moxibustion;
Electromyography;
Facial Paralysis
- From:
Journal of Acupuncture and Tuina Science
2022;20(5):399-405
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the clinical efficacy of tube moxibustion plus point-toward-point needling method for refractory facial paralysis. Methods: A total of 100 patients with refractory facial paralysis who met the inclusion criteria were randomized into an observation group and a control group, with 50 cases in each group. Both groups were treated with acupuncture by point-toward-point needling method, mainly in the affected eye, cheek and mouth areas. The observation group was given additional tube moxibustion after receiving the point-toward-point needling method, which inserted a tube moxibustion device into the external acoustic meatus 1 cm on the affected side for 20 min. Both groups were treated once a day, 6 times a week, for 4 consecutive weeks. The House-Brackmann scale was scored before and after treatment, and the facial nerve electromyogram data were collected. Results: The total effective rate of the observation group was 93.6%, which was higher than 64.6% of the control group, and the difference between the two groups was statistically significant (P<0.05). The proportion of new-onset facial paralysis complications (facial synkinesis, facial spasm, facial paralysis perversion, and crocodile tears) in the observation group was 6.4%, which was lower than 35.4% in the control group. The difference between the two groups was statistically significant (P<0.05). In the observation group, the numbers of cases after treatment with the ratio of action potential amplitude between the affected side and the healthy side increased by 10%-30% and over 30% were more than those in the control group. And the difference between the two groups was statistically significant (P<0.05). Conclusion: Tube moxibustion plus point-toward-point needling method has a better effect in improving symptoms of refractory facial paralysis, decreasing the incidence of sequelae, and increasing clinical efficacy than the point-toward- point needling method alone.