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Published on: September 28, 2022
[Clinical efficacy of pulling technique by needle stuck for subacute peripheral facial paralysis based based on
Xiaoshuang Xu1, Xiaowei Li1, Yuling Shu1
1First Clinical Medical College, Anhui University of CM, Hefei 230031, China.
Objective:
To observe the clinical efficacy of pulling technique by needle stuck for subacute peripheral facial paralysis based on the infrared thermography.
Methods:
A total of 60 patients with subacute peripheral facial paralysis were randomized into an observation group and a control group, 30 cases in each one. In the control group, conventional acupuncture was applied at Qianzheng (Extra), Sibai (ST2), Yangbai (GB14), Yuyao (EX-HN4), Jiache (ST6), Dicang (ST4), and etc. on the affected side. On the basis of the treatment in the control group, in the observation group, acupuncture at Yangbai (GB14)-toward-Yuyao (EX-HN4), Sibai (ST2)-toward-Dicang (ST4), and Dicang (ST4)-toward-Jiache (ST6) was applied and combined with pulling technique by needle stuck. In both groups, the needles were retained for 30 min a time, once every other day, until the 28th day of the disease course. Before and after treatment, the temperature difference (ΔT) between the healthy side and the affected side of Yangbai (GB14), Sibai (ST2), and Dicang (ST4) was measured by infrared thermography; the House-Brackmann (H-B) grade and the Sunnybrook facial nerve assessment scale score were compared in the two groups. The recovery time was compared by survival analysis, and the clinical efficacy was evaluated in the two groups.
Results:
After treatment, ΔT of Yangbai (GB14), Sibai (ST2), and Dicang (ST4) was decreased compared with that before treatment in the two groups (P<0.05), and that in the observation group was lower than the control group (P<0.05). After treatment, the H-B grade and the Sunnybrook facial nerve assessment scale scores were improved compared with those before treatment in the two groups (P<0.05), and those in the observation group were better than the control group (P<0.05). The median recovery time in the observation group was shorter than that in the control group (P<0.05). The total effective rate was 96.7% (29/30) in the observation group, which was superior to 90.0% (27/30) in the control group (P<0.05).
Conclusion:
Pulling technique by needle stuck can enhance the clinical efficacy when added to conventional acupuncture for subacute peripheral facial paralysis, improve the clinical symptoms and shorten the course of the disease.
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