摘要
目的 探讨星状神经节阻滞治疗急性面神经炎的治疗时机.方法 将急性面神经炎患者60例随机分为A、B两组,每组30例.A组发病后立即予以星状神经节阻滞治疗,隔日1次,并静脉滴注利巴韦林治疗5d.B组在予以利巴韦林治疗5d后,行星状神经节阻滞,隔日1次.观察患者在治疗6、10、15、30 d时的面部恢复情况.结果 在评分标准达到良效时,A组患者星状神经节阻滞（8.5＆#177;4.2）次,B组为（5.2＆#177;3.1）次,差异有统计学意义（P＜0.05）.在治疗10d左右时皱前额首先开始恢复,15d左右时闭眼、动鼻翼开始恢复,20 d左右时鼓腮开始恢复.在治疗10、15、30 d时两组面瘫评分差异无统计学意义（P＞0.05）.结论 与星状神经节阻滞同时行静脉滴注利巴韦林5d相比,在静脉滴注利巴韦林5d后进行星状神经节阻滞治疗,可减少患者星状神经节阻滞次数,并取得良好疗效.
Objective To explore the suitable time of stellate ganglion block in the treatment of acute facial neuritis.Methods Sixty patients with acute facial neuritis were randomly divided into group A and group B,30 cases in each group.The patients in group A were given stellate ganglion block after immediately,once every other day,and intravenous ribavirin simultaneously for five days.Intravenous ribavirin was given firstly for five days in group B,then stellate ganglion block,once every other day.The facial recovery was observed at 6,10,15,30 days during the treatment.Results When the good effect achieved,the patients in group A received stellate ganglion block for （8.5 ± 4.2） times,in group B （5.2 ± 3.1） times,with statistically significant difference （P〈 0.05）.Wrinkling forehead began to recover firstly at around 10 days during the treatment,closing one＆#39;s eyes and moving the alar began to recover at around 15 days,and druming cheeks began to recover at around 20 days.There was no statistical difference in facial paralysis score at 10,15,30 days during the treatment （P〉 0.05）.Conclusion The stellate ganglion block is effective in the treatment of acute facial neuritis after intravenous ribavirin for five days,as compared with stellate ganglion block and intravenous ribavirin simultaneously for five days,but its number of block is fewer.
出处
《实用疼痛学杂志》
2016年第6期411-414,共4页
Pain Clinic Journal
