Effect Of Transcutaneous Electrical Nerve Stimulation Combined With Conventional Therapy On Idiopathic Facial Nerve Palsy In Acute Phase

Purpose: 1.To observe the clinical effect of Transcutaneous nerve electrical stimulation with conventional therapy in the treatment of the acute idiopathic facial palsy. 2.To study the mechanism of action of Transcutaneous nerve electrical stimulation with conventional therapy in the treatment of the idiopathic facial palsy.Material and method: 1.Select 62 cases of patients with acute idiopathic facial palsy(within 7 days)from October 2014 to February 2016 in the third people’s hospital in Dalian. Randomly divide the 62 patients into two groups, the treatment group(32 cases) and the control group(30 cases). Patients in the treatment group were treated with Transcutaneous nerve electrical stimulation with conventional therapy, and the control group was given conventional treatment, and the clinical effect of the two groups was evaluated after 7 days. 2.To observe the evaluation index of the clinical curative effect before and after the treatment of the two groups:To observe,clinical signs,The House-Brackmann facial nerve function grading, Toronto face fractionation,the Blink reflex abnormal severity, the percentage of the amount of R1,Compound Muscle Action Potential amplitude percentage decline in severity. as evaluation indexes. 3.Statistical Methods: All data are analyzed by SPSS17.0 software.Results: 1.Comparison of clinical signs in the two groups after the treatment:Compared with the control group, patients in the treatment group show that grain reduce, eyelid closure not grin, gills drums do not leak. There was a statiscal difference(P < 0.05). Compared with control group, patients of the treatment group show nasolabial sulcus changes, and there are no statistical differences(P>0.05). 2.The comparison of House-Brackmann facial nerve grading system between two group after treatment has statistical differences(P<0.05).3. Comparison of two groups after treatment in TFGS : compared with the control group,the TFGS in trial group has statistical differences(P<0.05). 4. The comparison of blink reflex unusually severe degree between two group after treatment :compared with the control group,the blink reflex unusually severe degree in the trail group after treatment has significant statistical differences(P<0.01). 5. Comparison of the percentage of the amount of R1 in the two groups after treatment:In the treatment group: the amount of R1, compared with the control group, patients in the treatment group show significant difference(P < 0.01) in terms of the percentage of the amount of R1 in the treatment group. 6. The comparison of the loss percentage of severity of Compound Muscle Action Potential amplitude between two group after treatment:compared with the control group,the loss percentage of severity of Compound Motor Action Potential amplitude in trail group after treatment has no statistical differences(P>0.05).Conclusion: 1.Transcutaneous nerve electrical stimulation with conventional therapy in the treatment of the acute idiopathic facial paralysis clinically is proven to be effective after. 2.Transcutaneous electrical nerve stimulation improved the blood circulation environment which is around the damaged facial nerve,increased blood flow,strengthened the damaged facial nerve nutrients,reduced edema,promoted early recovery of facial nerve.