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SYSTEMATIC REVIEW article

Front. Neurol.
Sec. Neuromuscular Disorders and Peripheral Neuropathies
Volume 15 - 2024 | doi: 10.3389/fneur.2024.1450312
This article is part of the Research Topic Advancements in Surgical Strategies and Technologies for Cranial Nerve Disorders View all 7 articles

Efficacy Analysis of Electroacupuncture plus TDP in the Treatment of Peripheral Facial Paralysis: A Systematic Review and Meta-Analysis

Provisionally accepted
Hua-Wei Gao Hua-Wei Gao 1,2Qing-Chang Xia Qing-Chang Xia 2Zhi-Hong Li Zhi-Hong Li 1Wei Chen Wei Chen 3Yan Lu Yan Lu 2*
  • 1 Shandong College of Traditional Chinese Medicine, Yantai, Shandong Province, China
  • 2 Shandong University of Traditional Chinese Medicine, Jinan, Shandong Province, China
  • 3 Shijingshan Teaching Hospital, Capital Medical University, Beijing, China

The final, formatted version of the article will be published soon.

    Objective: This study intends to carry out a systematic review and meta-analysis of electroacupuncture combined with TDP in the treatment of peripheral facial paralysis. Methods: CNKI, VIP, Wanfang, PubMed, Embase and Cochrane databases were searched for literatures on randomized or quasi-randomized controlled trials of electroacupuncture combined with TDP in the treatment of peripheral facial paralysis, and the references of the included studies were searched. Meta-analysis was performed using Stata15.0 software after risk of bias, quality assessment, and data extraction of the included articles by two reviewers independently. Results: Fifteen articles were finally included, with approximately 1,568 participants (920 in the treatment group and 648 in the control group). Meta-analysis showed that the effective rate of electroacupuncture combined with TDP in the treatment of peripheral facial paralysis was not significantly different from other treatment methods ([RR=1.05, 95%CI (0.97, 1.12), P=0.226]), and the recovery rate was better than other treatment methods ([RR=1.14, 95%CI (1.05, 1.24), P=0.002]). Subgroup analysis showed that when stratified by the inclusion of minors in the study population, it was observed that in studies including minors, the combination of electroacupuncture and TDP therapy demonstrated superior efficacy in treating peripheral facial paralysis compared to other therapeutic modalities [OR=1.14, 95% CI (1.03, 1.25), P=0.011]. Conversely, in studies where the population comprised solely adults, no significant difference was found between the combination therapy and other treatments [OR=1.15, 95% CI (0.99, 1.33), P=0.059]; whether electroacupuncture alone or other treatment methods, the recovery rate of electroacupuncture combined with TDP in the treatment of peripheral facial paralysis was better than other methods. Conclusion: Electroacupuncture combined with TDP is superior to other treatment methods in the treatment of peripheral facial paralysis.

    Keywords: Peripheral facial paralysis, Electroacupuncture, TDP, Meta-analysis, Complementary Therapies

    Received: 25 Jun 2024; Accepted: 21 Oct 2024.

    Copyright: © 2024 Gao, Xia, Li, Chen and Lu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Yan Lu, Shandong University of Traditional Chinese Medicine, Jinan, 250355, Shandong Province, China

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