To review the efficacy of intraorbital electroacupuncture on treating unilateral traumatic
abducens nerve palsy and to analyze the relevant factors of efficacy. Methods: Patients with unilateral traumatic abducens nerve palsy who received intraorbital electroacupuncture treatment were enrolled. Patient gender,
age, course of disease, affected eye, condition of coma, orbital fracture, intracranial hemorrhage after trauma, ocular position score, paralysis, and number of treatments were recorded and analyzed for their relevance to recovery. Results: Total 103 patients of which 76 were male and 27 were female were enrolled. The left eye was affected in 66 cases and the right eye in 37 cases. The average age was (37.17±15.23) years old. Intraorbital electroacupuncture treatment was curative in 38 patients (36.89% ), effective in 47 (45.63% ), and ineffective in 18
(17.48%). The total effective rate was 82.52%. Results of inter-group comparisons showed that the differences
in patients’age, course of disease, ocular position score, coma, and intracranial hemorrhage between recovery
and non-recovery were statistically significant (P<0.05). Binary logistic regression revealed that course of disease, ocular position score, and number of treatments were relevant factors of recovery (P<0.05). The course of
disease and ocular position score were risk factors of recovery (β=-0.013, P=0.043; β=-1.124, P=0.002), and
the number of treatments was a protective factor of recovery (β=0.029, P=0.002). Conclusion: Intraorbital electroacupuncture is an effective method for treating unilateral traumatic abducens nerve palsy. Shorter course of
disease, lower ocular position score, and higher numbers of treatment are more likely to result in the patient being cured. |