威伐光局部照射治疗面神经炎的疗效观察  

Observation of clinical efficacy water-filtered infrared-A (wIRA) therapy on facial neuritis

作　　者：高修明 孙溪 周业青 李阳 项洁 

机构地区：[1]徐州医科大学附属医院康复科,江苏徐州221002

出　　处：《中国实用神经疾病杂志》2017年第21期48-51,共4页Chinese Journal of Practical Nervous Diseases

基　　金："十二五"科技支撑计划(2013BAI10B04)

摘　　要：目的探讨威伐光局部照射对面神经炎功能恢复的影响。方法选择急性面神经炎面肌瘫痪患者60例,随机分为对照组和观察组,每组30例。2组均采用传统药物治疗、物理治疗及针灸治疗,观察组在此基础上加用威伐光局部照射,照射强度为380mW/cm2,30min/次,1次/d,20d一疗程。治疗前后分别以House-Brackmann(H-B)分级、徒手肌力检查、简易面神经功能评分等进行综合效果评价。结果治疗20d后,观察组治疗效果优于对照组,差异有统计学意义(P<0.05)。观察组HB分级、徒手肌力检查分级及简易面神经功能评分均优于对照组,差异有统计学意义(P<0.05)。结论威伐光和传统疗法治疗周围性面神经炎均有效,而威伐光的治疗效果更加显著,临床应用前景确切。Objective To evaluate the impact of water-filtered infrared-A （wlRA） therapy on the recovery of facial neuritis. Methods Sixty patients with facial myoparalysis caused by acute facial neuritis were enrolled and randomly divided into the control group and the observation group,with 30 cases in each group. The patients in both groups received traditional drug therapy, physiotherapy and acupuncture therapy; the patients in the observation group additionally received wIRA therapy under the conditions of an exposure rate of 380 mW/cm2 ,30 min/time,qd, 20 days a course. Before and after treatment, the comprehensive efficacy was evaluated using House-Brackmann （H-B） grading system, manual muscle testing （MMT）, and simple facial nerve function score. Results After 20-day treatment, the patients in the observation had a significant better efficacy than those in the control group （P〈0.05）. The results of efficacy observation： the patients in the observation group had significant better H-B grade,MMT grade, and simple facial nerve function score than those in the control group （P 〈0.05）. Conclusion Both wlRA therapy and traditional therapy turned out effective in treating peripheral facial neuritis, hut the therapeutic efficacy of wlRA thera- py is more significant, so its application prospect is promising.

关 键 词：威伐光 面神经炎 面肌瘫痪 物理治疗 针灸 局部照射 

分 类 号：R745.1[医药卫生—神经病学与精神病学]