Bell麻痹的研究进展  

Progress of the study in the Bell palsy

作　　者：王丹[1] 贾云[1] 汪爱华 Wang Dan

机构地区：[1]中国地质大学医院,湖北武汉432100 [2]武汉市第三医院体检中心,湖北武汉432100

出　　处：《中医临床研究》2019年第17期145-148,共4页Clinical Journal Of Chinese Medicine

摘　　要：Bell麻痹是临床最常见的周围性面瘫,发病率高,病因及病理机制至今不明。国内外多数研究提示发病与病毒感染,免疫反应等因素有关。目前临床上治疗方案多种多样,糖皮质激素是公认的最有效及安全的治疗方法,是否采用抗病毒治疗要因人而异,要注意保护患者眼部,防止并发症。其他营养神经药物、高压氧被认为有效,物理治疗及中医药治疗的应用时间及效果尚需更多徇证医学证据来评价。大多患者预后良好,少数遗留后遗症,导致患者面部功能及生活质量受到影响。本文概述了Bell麻痹的最新研究进展及治疗选择。Bell palsy is the most common peripheral facial paralysis, but its etiology and pathogenesis remains uncertain. Most studies at home and abroad indicate that virus infection, immune reaction and other factors maybe related to this disease. There are many clinical treatments to choose from, among them glucocorticoid(a hormone steroid) was recognized as the most effective and safe treatment, antiviral treatment should vary from person to person. It is important to protect the patients’ eyes to prevent complications. Neurotrophic drugs, hyperbaric oxygen is believed to be effective, and the application time and effect of physical therapy and TCM treatment need to be evaluated by more research. Most of the patients had good prognosis and a few remaining sequelae, which affected the patients’ facial function and quality of life. This paper summarizes the latest research progress and treatment for Bells paralysis.

关 键 词：Bell麻痹 发病机制 糖皮质激素 眼部保护 

分 类 号：R745.11[医药卫生—神经病学与精神病学]