中西医结合治疗贝尔氏面瘫  

Treatment of Bell′s Palsy with Combination of Traditional Chinese Medicine and Western Medicine

作　　者：王晓红[1] 张黎明[1] 韩梅[2] 张克清[1] 蒋佼佼[1] 

机构地区：[1]四川大学华西医院康复中心,四川成都610041 [2]成都市第二人民医院神经内科,四川成都610058

出　　处：《华西口腔医学杂志》2004年第3期211-213,共3页West China Journal of Stomatology

摘　　要：目的　评定中西医结合治疗Bell′s面瘫的临床疗效。方法　 83例Bell′s面瘫患者随机分为试验组 (5 4例 )和对照组 (2 9例 )。两组患者均采用药物、针刺、理疗进行治疗 ;试验组在此基础上增加按摩与功能训练 ;两组疗效均采用Portmann简易评分法评分 ,评价疗效。结果　治疗前评分试验组为 2 90 7± 1 794 ,对照组为 2 931± 2 0 34,治疗后评分试验组为 18 5 93± 1 74 3,对照组为 9 86 2± 3 0 91。试验组面肌功能评分及面肌功能改善指数明显高于对照组 (P <0 0 1)。结论　中西结合治疗Bell′s面瘫有明显的康复疗效 ;面肌功能评定能客观地反应患者治疗前后面肌运动功能改善情况 ,量化地评价Bell′s面瘫患者的治疗效果。Objective To evaluation the clinical effect of combination of traditional Chinese medicine and western medicine on Bell′s palsy.Methods 83 patients with Bell′s palsy were randomly divided into two groups(trail group 54 cases and control group 29 cases). Patients in two groups were treated with medicine, acupuncture, physiotherapy, while patients in the trail group were treated with massage and functional exercise as the same time. The results of both groups were evaluated according to Portmann′s Simple Scale.Results The score before treatment of trail group was 2.907±1.794, while control group was 2.931±2.034. And the score after treatment of trail group was 18.593±1.743, while control group was 9.862±3.091. Score of the function of facial muscles obtained from trail group was distinctly higher than that was from the control group (P<0.01), as well as the improvement index (P<0.01, trail group: 0.844±0.095, control group: 0.712±0.129).Conclusion There is significant curative effect and suitability in the treatment of Bell′s palsy with combination of traditional Chinese medicine and western medicine. The improvement of facial muscles′ motive function pre- and post-treatment and quantitative evaluation of curative effect can be objectively obtained by evaluation of facial muscles′ function.

关 键 词：Bell’s面瘫 中西医治疗 功能评定 

分 类 号：R745.1[医药卫生—神经病学与精神病学]