A型肉毒毒素注射治疗眼睑及面肌痉挛的效果与护理  

Effect and nursing of botulinum toxin type A injection treatment of blepharospasm and hemifacial spasm

作　　者：刘敬楠[1] 董桂霞[1] 

机构地区：[1]首都医科大学附属北京同仁医院眼科中心北京市眼科学与视觉科学重点实验室,100730

出　　处：《中华现代护理杂志》2010年第36期4385-4387,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨小剂量A型肉毒毒素多点注射治疗眼睑及面肌痉挛的临床疗效、安全性及护理方法。方法105例眼睑及面肌痉挛患者，给予小剂量A型肉毒毒素多点注射治疗，进行复诊或电话随访，记录复诊、电话随访的临床指标，并给予心理护理、注射护理和健康教育。结果经过电话随访或复诊，105例患者均在1～3d内显效，平均（1．1±0．5）d；完全缓解64例（60．95％），明显缓解28例（26．67％），部分缓解6例（5．71％）。无全身中毒及过敏反应，局部不良反应轻微、短暂。结论小剂量A型肉毒毒素多点注射治疗眼睑及面肌痉挛的临床疗效确切，安全性较高，针对患者给予细心周到的护理，对患者康复、减轻其身心痛苦具有重要意义。Objective To observe the effect of botulinum toxin type A injection treatment of blepharospasm and hemifacial spasm. Methods One hundred and five patients with blepharospasm and hemifacial spasm were given botulinum toxin A injecting on local face, the effect was analyzed. And mental nursing, injection nursing and health education were performed. Results After telephone follow-up or return visit, 105 cases were effective in 1 to 3 days on average （ 1.1± 0.5 ） days ; complete remission in 64 cases （60. 95% ） , apparent relieved in 28 cases （26.67%）, partial remission in 6 cases （5.71% ）. No systemic toxicity and allergic reactions occurred. Local side effects were minor and short. Conclusions Botulinum toxin A can effectively control blepharospasm and hemifacial spasm by injecting a little dose on local muscle. Attentive nursing measures were important to reduce physical and mental suffering for patients.

关 键 词：A型肉毒毒素 眼睑痉挛 面肌痉挛 护理 

分 类 号：R777[医药卫生—眼科] R745.12[医药卫生—临床医学] R473.77