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Observation on the clinical efficacy of electroacupuncture combined with external application of traditional Chinese medicine in the treatment of Idiopathic facial nerve paralysis
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DOI   10.11656/j.issn.1673-9043.2024.06.06
Key Words   electroacupuncture;external application of traditional Chinese medicine;idiopathic facial nerve paralysis;randomized controlled trial
Author NameAffiliationE-mail
GUO Liang Department of Acupunture, Linfen People's Hospital, Linfen 041000, China  
PEI Zhiyong Department of Acupunture, Linfen People's Hospital, Linfen 041000, China  
MA Hongmei Department of Traditional Chinese Medicine, Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang 330000, China 94043722@qq.com 
Abstract
    [Objective] This study aims to evaluate the clinical efficacy of electroacupuncture combined with external application of traditional Chinese medicine (EATCM) in the treatment of idiopathic facial nerve paralysis. [Methods] 180 patients with idiopathic facial nerve paralysis who met the inclusion and exclusion criteria were randomly divided into treatment group 1,treatment group 2 and control group according to the ratio of 1 ∶1 ∶1. Treatment group 1 was treated with electroacupuncture,treatment group 2 was treated with electroacupuncture combined with EATCM,and control group was treated with oral Western medicine. All three groups received 3 weeks of treatment. The primary outcome measure was the Sunnybrook Facial Grading System(SFGS) score,and the secondary outcome measures were the House-Brackmann Grading Scale (HBGS),Nottingham System score,and incidence of treatment-related adverse events (TRAEs). [Results] 164 patients completed 3 weeks of treatment, including 56 patients in treatment group 1,53 patients in treatment group 2,and 55 patients in the control group. The baseline characteristics of the three groups were consistent (P>0.05). After 3 weeks of treatment,the SFGS score,HBGS and Nottingham System score of the three groups were better than those before treatment(P<0.05),and the scores of the treatment group 2 were significantly better than those of the treatment group 1 and the control group (P<0.05);There was no adverse reactions in the three groups during the study. [Conclusion] Electroacupuncture combined with EATCM is a safe and effective treatment for idiopathic facial nerve paralysis,which can significantly promote the recovery of facial nerve function and provide a new therapeutic idea for further improving the prognosis of patients with idiopathic facial paralysis.

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