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星状神经节阻滞合并电针治疗顽固性周围性面瘫的临床疗效观察

INTRACTABLE FACIAL PARALYSIS TREATED WITH STELLATE GANGLION BLOCK PLUS ELECTRIC ACUPUNCTURE

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【作者】 朱宏骞蒋劲冯力柴蔚郑虎山

【Author】 ZHU Hong-Qian, JIANG Jin, FENG Li, CAI Wei, ZHENG Hu-Shan(Pain clinic, Nanshan People’s Hospital, Shenzhen, Guangdong 518052)

【机构】 广东省深圳市南山医院疼痛治疗中心广东省深圳市南山医院疼痛治疗中心 中华疼痛学会深圳临床基地深圳518052中华疼痛学会深圳临床基地深圳518052

【摘要】 目的 :观察星状神经节阻滞 (SGB)合并电针对顽固性面瘫的临床治疗效果。方法 :5 7例顽固性面瘫患者随机分为三组 ,Ⅰ组给予常规治疗 ,Ⅱ组给予常规治疗 +电针 ,Ⅲ组给予常规治疗 +电针 +星状神经节阻滞疗法。以面瘫综合评分法评价三组的疗效 ,观察比较三组治疗后面神经麻痹恢复的无效率、有效率及治愈率 ,疗程的长短。结果 :星状神经节阻滞 +电针组 (Ⅲ组 )治愈率为4 5 %、有效率为 95 % ,常规治疗 +电针组 (Ⅱ组 )治愈率为 2 0 %、有效率为 80 % ,常规治疗组 (Ⅰ组 )有效率和治愈率最低。Ⅲ组的平均显效时间和治愈时间明显短于Ⅱ组和Ⅰ组。结论 :星状神经节阻滞合并电针能明显提高顽固性面瘫的治愈率 ,并显著缩短其治疗疗程。

【Abstract】 Objective:To observe the therapeutic effect of stellate ganglion block plus electroacupuncture (EA) for the treatment of intractable facial paralysis. Method:Forty-seven patients were randomly divided into three groups. Group Ⅰwas treated by routing therapy, GroupⅡ was treated by routing therapy plus EA, GroupⅢ was treated by treated by routing therapy plus EA and stellate ganglion block. The effects of the three groups were evaluated by facial paralysis scale. Failure rate, effectiveness rate and cure rate as well as the course of therapy after treatment were also observed and compared. Result: The cure rate of group Ⅲ was 45%,effectiveness rate was 95%.The cure rate of groupⅡwas 20%, effectiveness rate was 80%. Group Ⅰhad the lowest cure rate and effectiveness rate. The mean effective time and cure time of group Ⅲ were shorter than the other two groups. Conclusion: The group of stellate block plus electric acupuncture produced better therapeutic effect and shortened the therapeutic course of intractable facial paralysis than the other two groups.

【关键词】 星状神经节神经阻滞面瘫治疗
【Key words】 Stellate ganglionNerve blockFacial paralysisTreatment
  • 【文献出处】 中国疼痛医学杂志 ,Chinese Journal of Pain Medicine , 编辑部邮箱 ,2004年05期
  • 【分类号】R745.12
  • 【被引频次】21
  • 【下载频次】251
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