摘要
目的 特发性面神经麻痹的发病率较高,部分患者遗留有后遗症,为了解除患者痛苦,探究分析特发性面神经麻痹的治疗经验。方法 总结我们医院神经内科2022年7-8月收治的6例特发性面神经麻痹的治疗经验。结果 6例患者均患有不同程度的面神经麻痹,入院后病情持续进展,表现为面瘫症状加重,采取传统康复治疗方法,迅速缓解症状,治疗效果较好。结论 对于临床上因病毒感染或不明原因所导致的特发性面神经麻痹的病人,应及早入院治疗,给与传统康复治疗,尤其是以推拿、针灸、艾灸为主,结合现代康复技术电疗、热疗等物理因子治疗,患者自身也需要及早进行面部自主功能的训练,对于该病具有较好的治疗效果。
关键词: 特发性面神经麻痹;手法治疗;针灸;推拿
Abstract
Objective: The incidence of idiopathic facial paralysis is high, and some patients have sequelae. In order to relieve the pain of patients, explore and analyze the treatment experience of idiopathic facial paralysis. Methods The treatment experience of 6 cases of idiopathic facial paralysis admitted to the Neurology Department of our hospital from July to August 2022 was summarized. Results All 6 patients suffered from different degrees of facial paralysis. After admission, the condition continued to progress, and the symptoms of facial paralysis worsened. The traditional rehabilitation treatment was adopted to relieve the symptoms quickly, and the treatment effect was good. Conclusion For clinical patients with idiopathic facial paralysis caused by viral infection or unknown reasons, they should be admitted to the hospital for treatment as soon as possible, and given traditional rehabilitation treatment, especially massage, acupuncture and moxibustion, combined with modern rehabilitation technology electrotherapy, For the treatment of physical factors such as hyperthermia, the patients themselves also need to carry out facial autonomic function training as soon as possible, which has a good therapeutic effect on the disease.
Key words: Idiopathic Facial Paralysis; Manual Therapy; Acupuncture; Massage
参考文献 References
[1] BAUGH RF, BASURA GJ, ISHII LE, et al. Clinicalpractice guideline:Bell's palsy[J]. Otolaryngol HeadNeck Surg, 2013, 149(3 Suppl):S1‑S27.
[2] 中华医学会神经病学分会,中华医学会神经病学分会神经肌肉病学组,中华医学会神经病学分会肌电图与临床神经电生理学组. 中国特发性面神经麻痹诊治指南[J].中华神经科杂志,2016(2):84-86.
[3] 饶金柱,钟立达,刘惠宇,李芳,鲍晓.重复经颅磁刺激治疗特发性面神经麻痹的疗效观察[J].赣南医学院学报,2021,41(01):46-49.
[4] Baricich A,Cabrio C, Paggio R, et al. Peripheral facial nerve palsy:how effective isrehabilitation[J].Otol Neurotol, 2012, 33(7):1118-1126.
[5] 刘钦刚.实用PNF治疗[M].昆明:云南科学技术出版社,2003:235-244.
[6] 王维治.神经病学[M].北京:人民卫生出版社,2004:235-236.
[7] Terzis JK, Anesti K. Extratemporal facial paralysis[J]. Ann Plast Surg, 2013 ,70(2):196-210.
[8] Liu J,Li Y, Yuan X, et al. Sodium beta-aescin may be an effectivetherapeutic agent for Bell's palsy[J]. Med Hypotheses,2008,71(5):
[9] Atzema C, Goldman RD. Should we use steroids to treat childrenwith Bell's palsy [J]. Can Fam Physician, 2006, 52:313-314.
[10] 李金明.中西医结合治疗特发性面神经麻痹的临床体会[J].中国社区医师(医学专业),2013,15(10):236.
[11] 周向秀.中西医结合治疗急性特发性面神经麻痹89例的效果观察[J].南通大学学报(医学版),2013,33(2):149-150.
[12] 张娜.推拿、PNF结合针刺在特发性面神经麻痹中的应用[J].现代中西医结合杂志,2011,20(27):3440-3441.
[13] 郭耀良.推拿针刺结合治疗特发性面神经麻痹42例临床观察[J].中国医药导报,2010,13(7):94
[14] Shafshak TS.The treatment of facial palsy from the point of view ofphysical and rehabilitation medicine[J].Eura Medicophys,2006,42(1):41-47.
[15] 李志银,代蓉.特发性面神经麻痹的康复物理治疗进展[J].按摩与康复医学,2015,6(02):4-6.
[16] Pereira LM, Obara K, Dias JM, et al.Facial exercise therapy forfacial palsy: systematic review and meta- analysis[J]. Clin Rehabil,2011,25(7):649-658.
[17] 张娜.推拿、PNF结合针刺在特发性面神经麻痹中的应用[J].现代中西医结合杂志,2011,20(27):3440-3441.