恒磁有氧循经无创治疗周围性面神经麻痹1 500例(英文)  

Treatment of 1 500 cases of peripheral facial paralysis with constant magnetic aerobic atraumatic method along meridian

作　　者：李平[1] 袁杰[1] 杨亚宁[1] 

机构地区：[1]解放军第四军医大学口腔医学院面瘫科,陕西省西安市710032

出　　处：《中国临床康复》2005年第29期166-167,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：背景:目前对周围性面神经麻痹的治疗仍停留在针灸、针刺、针刺加理疗、穴位注射、埋线、割治等传统的有创治疗方法,不能直接作用于面神经的损伤病变部位,疗程长,治愈率低。而恒磁有氧循经无创治疗方法恰好弥补了传统治疗方面的不足。目的:探讨应用恒磁有氧循经无创方法治疗周围性面神经麻痹患者的疗效。设计:病例分析。单位:解放军第四军医大学口腔医院面瘫科。对象:选择1998-06/2004-06全国18省市、自治区初诊为周围性面神经麻痹患者1500例,其中男935例,女565例;年龄1.5～19岁103例,20～50岁1105例,51～74岁292例;左侧672例,右侧828例;病程1d～40年。方法:所有患者均按要求在选择的面神经麻痹有效点[面神经麻痹1号点:位于患侧耳垂后乳突下方凹陷处,相当面神经出经乳孔处。面神经麻痹2号点:位于患侧耳后乳突弧形高点处。面神经麻痹3号点:位于面神经麻痹2号穴上约3.33cm(1寸)处。面神经麻痹4号点:位于患侧外耳道后方约0.5cm与耳轮脚下0.5cm相交处。面神经麻痹5号点:位于上耳屏尖前约1寸处。面神经麻痹6号点:位于患侧耳廓上缘顶点处]及配穴(牵正、地仓、双合谷)上进行20min的恒磁有氧治疗,1次/d,10d为1个疗程,每疗程间休息两三天,再行下一个疗程,共治疗2个疗程。取点治疗与吸氧同时进行,吸氧方法:20min/次,1次/d,10d为1个疗程,吸氧流量一般为2～4L/min。疗效评估:进行额纹、皱眉、闭眼、吹哨、鼓腮、微笑时患侧和健侧动作一致与否的比较,同时进行示齿时和静止时的患侧和健侧的鼻唇沟和人中沟一致与否的比较。健患两侧石肌功能的比较可通过健患两侧的6点4线测量法获得。主要观察指标:临床疗效评定结果。结果:1500例周围性面神经麻痹患者均进入结果分析,中途无脱落。经20d治疗后恢复1385例(92.33%);显效92例(6.13%);好转22例(1.74%);无效1例(0.07%),总�BACKGROUND： Peripheral facial paralysis is treated at present only with traditional traumatic methods, such as acupuncture, moxibustion, needling with physical therapy, point-injection, thread burial therapy, scraping therapy, etc. Those methods do not act directly on the lesion of facial nerve and they are long in duration of treatment and low in curative rate. The constant magnetic aerobic atruamatic method along meridian just makes up the shortcoming of the traditional therapies. OBJECTIVE： To observe the therapeutic effects of constant magnetic aerobic atruamatic method along meridian on treatment of peripheral facial paralysis. DESIGN： Case analysis. SETTING： Department of Facial Paralysis, College of Stomatology, Fourth Military Medical University of Chinese PLA. PARTICIPANTS： Totally 1 500 cases of first diagnosed peripheral facial paralysis were employed in 18 provinces and autonomic regions in China from June 1998 to June 2004, of which, 935 cases were male and 565 eases female. Of 103 cases were aged varied from 1.5 to 19 years, 1 105 cases from 20 to 50 years and 292 cases from 51 to 74 years. Of 672 cases were left palsy and 828 cases were fight palsy. The duration of sickness was varied from 1 day to 40 years. METHODS： Constant magnetic aerobic therapy for 20 minutes was applied on facial-palsy effective points for all of cases [No.1 point： in the depression inferior to mastoid process behind ear lobe on the affected side, corresponding to the mastoid foramen, from which, the facial nerve emerges. No.2 point： on the arch top of mastoid process behind ear lobe on the affected side. No.3 point： about 3.33 cm （1 tun） above No.1 point. No. 4： in the conjunction between the point about 0.5 cm posterior to the external auricular tract and the one 0.5 cm inferior to helix crus. No.5 point： about 1 cun anterior to ear apex. No.6 point： on the top of the upper border of helix on the ＇affected side] and supplementary points [Qianzheng （Extra）, Dicong （ST 4）, bilateral Hegu

关 键 词：面神经麻痹 选穴 循经 经络磁场疗法 

分 类 号：R745[医药卫生—神经病学与精神病学]