Clinical Observation of Micro-invasive Thread Embedding with Different Materials for Chronic Facial Paralysis / 上海针灸杂志

ABSTRACT

ObjectiveTo compare the therapeutic efficacies and adverse reactions of micro-invasive thread embedding with two types of materials in treating chronic facial paralysis.MethodTotally 186 patients with chronic facial paralysis were randomized into a catgut group and a PDS group, 93 cases in each group. For the two groups, Cuanzhu (BL2), Yuyao (EX-HN4), Taiyang (EX-HN5), Dicang (ST4), Jiache (ST6), Quanliao (SI18), Yingxiang (LI20), Qianzheng (Extra), Xiaguan (ST7), Fengchi(GB20), and bilateral Hegu (LI4) and Zusanli (ST36) were selected. The thread embedding treatment was given once every 10 d, 3 timesas a treatment course, successively for 2 courses. The therapeutic efficacy and adverse reactions were analyzed after 2 treatment courses. ResultThe Sunnybrook Facial Grading System scores were significantly increased after intervention in the two groups (P0.05). There were no significant differences in comparing the adverse reactions including tenderness, nodules, and swelling right after thread embedding between the two types of materials (P>0.05); 10 d after thread embedding, the adverse reactions happened inthe catgut group were significantly more than that in the PDS group (P0.05).Conclusion Acupoint thread embedding with PDS can help recover facial nerve function in chronic facial paralysis; as a thread embedding material, PDS thread produces a lower occurrence rate of adverse reactions, and thus it’s a kind excellent thread embedding material.