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创伤性面神经损伤物理疗法的实验研究

An experimental study on physiotherapy for traumatic facial nerve injury

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【作者】 施晓健俞光岩何冬梅张笑明杨朝晖

【Author】 SHI Xiaojian, YU Guangyan, HE Dongmei, et al Department of Oral and Maxillofacial Surgery, School of Stomatology, Beijing Medical University, Beijing 100081,China

【机构】 北京医科大学口腔医学院口腔颌面外科解放军总医院神经病理室

【摘要】 目的 评价电刺激疗法 (Es)、直流电维生素B1、B12 离子导入疗法 (Io)以及电刺激 +维生素离子导入疗法 (Es+Io)对面神经损伤的治疗效果。方法 对 5 0只家兔造成单侧面神经损伤动物模型 ,分别给予上述方法治疗。进行组织学观察、神经电图 (ENoG)测定、计量病理学研究。结果 Es及Io均可促进损伤神经再生 ,Es对轴突生长作用明显 ;Io对促进髓鞘再生作用显著 ;二者合用 ,综合疗效最好。结论 Es或Io对神经恢复均有促进作用 ,其作用途径不同 ,二者联合应用 ,损伤神经整体恢复效果更佳

【Abstract】 Objective To investigate the effects of electric stimulation, iontophoresis and electric stimulation with iontophoresis therapy in treating traumatic facial nerve injury Methods Fifty rabbits were used All right buccal branch of facial nerve were injured The rabbits were randomly divided into five groups and treated by different stimulation pattern: (a) electric stimulation group; (b) iontophoresis group; (c) iontophoresis with electric stimulation group; (d) routine therapy group;(e) control group The histologic morphology, quantitative indices of nerve fibers and electroneurography(ENoG) indices were analyzed Results (a) Iontophoresis with Vitamin B 1 and Vitamin B 12 improved the regeneration of facial nerve myelin sheath And had the best effect among these groups (b) Electric stimulation had great effect on axon regeneration (c) The group of electric stimulation with iontophoresis therapy had the best comprehensive effect on the nerve injury Conclusions Both electric stimulation and iontophoresis have good effects on nerve regeneration, when they are used in combination, the best comprehensive effect will be expected

【基金】 国家教委优秀青年教师基金资助项目
  • 【文献出处】 中华口腔医学杂志 ,Chinese Journal of Stomatology , 编辑部邮箱 ,2000年06期
  • 【被引频次】4
  • 【下载频次】66
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