Efficacy of Electroacupuncture with Sparse-Dense-Wave on Patients Suffered Acute Facial Paralysis

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Abstract

Objective

To explore the efficacy of electroacupuncture (EA) with sparse-dense wave form on the improvement of facial nerve edema, facial spasm, and repair of nerve injury in patients with acute facial paralysis.

Methods

This study enrolled 100 patients who were treated for acute facial paralysis in People’s Hospital of Dongxihu District from December 2019 to December 2020. They were randomly divided into the control group (continuous wave) and the sparse-dense wave group (sparse-dense wave), following by being intervened by EA with different wave forms. Then the facial disability index (FDI) score, serum levels of immunoglobulin A (IgA), immunoglobulin G (IgG), and immunoglobulin M (IgM) in the two groups were evaluated.

Results

The total effectiveness rate (98.00% and 86.00%, respectively; P < 0.05) and the recovery rate of facial spasm (76.00% and 56.00%, respectively; P<0.05) in the sparse-dense wave group was both significantly higher than that of the control group. After treatment, the scores of physical functions of patients in both groups increased (P < 0.05), the scores of social/well-being dysfunctions decreased ( P < 0.05). Besides, the levels of serum IgA, IgG, and IgM in both groups decreased ( P < 0.05), and the serum levels in the sparse-dense wave group were significantly lower than the control group ( P < 0.05).

Conclusion

EA intervention with sparse-dense wave form is effective for patients with acute facial paralysis, in that it effectively reduced the occurrence of facial spasm and promoted the improvement of edema and repair of nerve injury.

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Most cited references 31

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The neurologist’s dilemma: A comprehensive clinical review of Bell’s palsy, with emphasis on current management trends

Anthony Zandian, Stephen Osiro, Ryan Hudson … (2014)

Background Recent advances in Bell’s palsy (BP) were reviewed to assess the current trends in its management and prognosis. Material/Methods We retrieved the literature on BP using the Cochrane Database of Systematic Reviews, PubMed, and Google Scholar. Key words and phrases used during the search included ‘Bell’s palsy’, ‘Bell’s phenomenon’, ‘facial palsy’, and ‘idiopathic facial paralysis’. Emphasis was placed on articles and randomized controlled trails (RCTs) published within the last 5 years. Results BP is currently considered the leading disorder affecting the facial nerve. The literature is replete with theories of its etiology, but the reactivation of herpes simplex virus isoform 1 (HSV-1) and/or herpes zoster virus (HZV) from the geniculate ganglia is now the most strongly suspected cause. Despite the advancements in neuroimaging techniques, the diagnosis of BP remains one of exclusion. In addition, most patients with BP recover spontaneously within 3 weeks. Conclusions Corticosteroids are currently the drug of choice when medical therapy is needed. Antivirals, in contrast, are not superior to placebo according to most reliable studies. At the time of publication, there is no consensus as to the benefit of acupuncture or surgical decompression of the facial nerve. Long-term therapeutic agents and adjuvant medications for BP are necessary due to recurrence and intractable cases. In the future, large RCTs will be required to determine whether BP is associated with an increased risk of stroke.

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Epidemiology of Bell’s palsy in an Italian Health District: incidence and case-control study

S. MONINI, A.I. LAZZARINO, C. IACOLUCCI … (2010)

SUMMARY The incidence of Bell’s palsy has been estimated in a health district of a major Italian city, taking also into consideration the potential risk factors that might influence the occurrence of Bell’s palsy. A matched case-control was therefore designed, by collecting data from the Emergency Departments of four Hospitals belonging to the same Health District in Rome (Italy), coordinated by a tertiary referral centre University Hospital. All patients affected by Bell’s palsy within the health district and four controls for each case were included. Controls were selected from other ENT patients, and were matched for hospital admission, week of disease onset, and climate conditions. Information regarding possible risk factors was collected using standardized telephone interviews. The resulting dataset was analyzed using multiple conditional logistic regression. The study group comprised 381 patients with acute, unilateral, peripheral facial palsy, clinically diagnosed as Bell’s palsy observed between 1st January 2006 and 31st December 2008. The cumulative incidence of Bell’s palsy was found to be 53.3/100.000/year. Among the risk factors, age was found to influence onset of Bell’s palsy, with an odds ratio of 2% for each one-year increase in age, with a linear trend (95% CI = 1-3%; p = 0.005). Bell’s palsy was found to occur with an annual incidence close to previous reports. Among the possible known risk factors (diabetes, pregnancy, etc.), only aging was found to play a significant role.

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Elevated neutrophil-to-lymphocyte ratio in Bell's palsy and its correlation with facial nerve enhancement on MRI.

Rauf Oguzhan Kum, Nurcan Yurtsever Kum, Muge Ozcan … (2015)

The aim of this study was to investigate the role of inflammation and atherothrombosis in Bell's palsy (BP) by using neutrophil-to-lymphocyte ratio (NLR) and mean platelet volume (MPV), respectively, and to study their relations with the facial nerve enhancement on temporal gadolinium-enhanced magnetic resonance imaging (TGd-MRI).

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Author and article information

Journal

Journal ID (nlm-ta): Clin Cosmet Investig Dermatol

Journal ID (iso-abbrev): Clin Cosmet Investig Dermatol

Journal ID (publisher-id): ccid

Title: Clinical, Cosmetic and Investigational Dermatology

Publisher: Dove

ISSN (Electronic): 1178-7015

Publication date (Electronic): 17 July 2023

Publication date Collection: 2023

Volume: 16

Pages: 1811-1819

Affiliations

[1 ]Department of Traditional Chinese Medicine, People’s Hospital of Dongxihu District , Wuhan, Hubei, 430040, People’s Republic of China

Author notes

Correspondence: Fan Chen, Department of Traditional Chinese Medicine, People’s Hospital of Dongxihu District , No. 48, Jinbei First Road, Jinghe Street, Wuhan, Hubei, 430040, People’s Republic of China, Tel +86 15972944985, Email chenfancf79@126.com

Article

Publisher ID: 405569

DOI: 10.2147/CCID.S405569

PMC ID: 10361404

PubMed ID: 37483469

SO-VID: 6d89b463-b7a7-4567-aba6-2517d8cef383

License:

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

History

Date received : 20 January 2023

Date accepted : 20 June 2023

Page count

Figures: 0, Tables: 5, References: 31, Pages: 9

Funding

Funded by: Wuhan Municipal Health and Family Planning Commission Scientific research project, Youth Project;

Wuhan Municipal Health and Family Planning Commission Scientific research project, Youth Project (project name: Clinical Efficacy of Electroacupuncture Dilatational Wave Treatment of Acute-Stage Facial Paralysis No: WZ18Q15).

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Efficacy of Electroacupuncture with Sparse-Dense-Wave on Patients Suffered Acute Facial Paralysis

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Abstract

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Conclusion

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Karger: Dermatology

Most cited references 31

The neurologist’s dilemma: A comprehensive clinical review of Bell’s palsy, with emphasis on current management trends

Epidemiology of Bell’s palsy in an Italian Health District: incidence and case-control study

Elevated neutrophil-to-lymphocyte ratio in Bell's palsy and its correlation with facial nerve enhancement on MRI.

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