周围性面瘫的定位诊断与中西医结合疗效的相关性研究  

Research of Location Diagnosis and the Effect of Western-Eastern Combined Medicine on Peripheral Facial Paralysis

作　　者：陈增力[1] 吴刚[1] 崔福玲[1] 齐鹏[1] 

机构地区：[1]山东省滨州市人民医院,256610

出　　处：《中国全科医学》2010年第19期2160-2161,共2页Chinese General Practice

摘　　要：目的探讨不同部位周围性面瘫中西医结合治疗的效果。方法根据面神经各节段的分布,将面瘫分为:面神经核损害性面瘫(Ⅰ型面瘫)、膝状神经节损害性面瘫(Ⅱ型面瘫)、镫骨肌神经段面瘫(Ⅲ型面瘫)、鼓锁神经段面瘫(Ⅳ型面瘫)和茎乳孔处面瘫(Ⅴ型面瘫)。观察180例患者的治疗效果,并进行比较。结果 5种不同部位面瘫疗效比较差异有统计学意义(P<0.01),两两比较:Ⅰ型面瘫与Ⅱ型面瘫、Ⅱ型面瘫与Ⅲ型面瘫、Ⅲ型面瘫和Ⅳ型面瘫、Ⅳ型面瘫和Ⅴ型面瘫比较差异均有统计学意义(P<0.05)。结论中西医结合疗效与病变损害部位有明显相关性,茎乳孔以下受损者部位最低,效果最好,病变于面神经管内以上者,部位越高,疗效越差。Objective To probe into the effect of western medicine combined with Chinese traditional medicine （CTM） on different parts of the facial nerve lesion. Methods According to the different lesion places of the facial nerve, facial paralysis was divided into 5 categories ： the facial nerve nuclei segment （ Type I ）, the geniculate ganglion segment （ Type II ） , the stapes nerve segment （ Type III ）, the tympanic cord nerve segment （ Type N） and the stylomastoid foramen segment （ Type V ） . 180 patients were compared with therapeutic effects of western medicine combined with CTM after 5 therapeutic courses. Results The difference of the effect of the combined therapy was significant among the 5 groups （ P 〈 0. 01 ）. And the Post - Hoc test showed significant inter - group difference between Type I and Type II, Type II and Type m, Type III and Type IV, Type IV and Type V paralysis （ P 〈 0.05 ）. Conclusion The therapeutic effect of western medicine combined with CTM was correlated with the parts of nerve lesion. The lower levels under the stylomastoid foramen segment, the better effect would be. To patients with facial nerve lesion over the facial nerve canal, the higher lesion level would lead to the worse effect.

关 键 词：周围性面瘫 面神经定位诊断 中西医结合治疗 

分 类 号：R745.12[医药卫生—神经病学与精神病学]