摘要
目的研究面瘫神经损伤定位和治疗方法选择相关关系,探究更好的治疗方案。方法选取210例符合神经损伤面瘫的患者,随机将患者分为中医治疗组(A组)、西医治疗组(B组)和中西结合治疗组(C组)各70例。结合肌电图与临床进行准确神经损伤定位,根据面神经功能分级,并与临床体征与症状结合分析疗效。结果治疗效果中,面神经管内A组痊愈率为23.8%,B组为35%,而C组的痊愈率为52%,A组<B组<C组,组间两两比较有明显差异(P<0.05)。面神经管外H-B分级:治疗后,三组无明显差(P>0.05)。面神经管内H-B分级:治疗后A组、B组与C组有明显差异(P<0.05)。面神经管内并发症和后遗症的发病率比较A组>B组>C组,组间两两比较有明显差异(P<0.05)。结论在面瘫神经损伤治疗中,中西结合的方法具有最好的效果,同时并发症和后遗症少。
Objective To study on correlation between the location of the nervous injury and therapeutic methods for peripheral facial paralysis. Methods210 cases patients with peripheral facial paralysis were selected, and randomly divided into A group with Chinese medicine therapy, B group with westernmedicine therapy and C group integrated traditional Chinese and Western medicine treatment, 70 cases in each. First carry on the localization of nerve injuryin patients, and different classification of facial nerve function in patients were classified with clinical status. Then to observe and compared the clinical effectof the three groups. Results The cure rate of A group was 23.8%, B group was 35%, and C group was 52%. There were significantly different from each other（P 〈 0.05）. And so were the clinical effect. Traditional Chinese and Western medicine treatment was a therapy with less complications and sequel after sixmonths of follow-up. Conclusion Traditional Chinese and Western medicine treatment is a good therapy for Peripheral facial paralysis with less complicationsand sequela.
出处
《中国处方药》
2014年第11期14-15,共2页
Journal of China Prescription Drug
关键词
面瘫神经损伤
定位
治疗
Peripheral facial paralysis
Location
Treatment
