[1]杨 森,赵春蓉,余文兴,等.妊娠期周围性面神经麻痹多种治疗方案效果比较[J].医学信息,2021,34(02):132-134.[doi:10.3969/j.issn.1006-1959.2021.02.036]
　YANG Sen,ZHAO Chun-rong,YU Wen-xing,et al.Comparison of the Effects of Various Treatments for Peripheral Facial Paralysis During Pregnancy[J].Medical Information,2021,34(02):132-134.[doi:10.3969/j.issn.1006-1959.2021.02.036]
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妊娠期周围性面神经麻痹多种治疗方案效果比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年02期
页码:
132-134
栏目:
临床研究
出版日期:
2021-01-15

文章信息/Info

Title:
Comparison of the Effects of Various Treatments for Peripheral Facial Paralysis During Pregnancy
文章编号:
1006-1959（2021）02-0132-03
作者:
杨 森; 赵春蓉; 余文兴; 等
（1.遂宁市中心医院耳鼻咽喉科，四川 遂宁 629000）（2.四川职业技术学院统计学系，四川 遂宁 629000）
Author(s):
YANG Sen; ZHAO Chun-rong; YU Wen-xing; et al.
(1.Department of Otorhinolaryngology,Suining Central Hospital,Suining 629000,Sichuan,China 2.Department of Statistics,Sichuan Vocational and Technical College,Suining 629000,Sichuan,China)
关键词:
妊娠期; 周围性面神经麻痹; 电针刺
Keywords:
Pregnancy; Peripheral facial nerve palsy; Electroacupuncture
分类号:
R745.1+2
DOI:
10.3969/j.issn.1006-1959.2021.02.036
文献标志码:
A
摘要:
目的 比较妊娠期周围性面神经麻痹多种治疗方案效果，以期为临床治疗提供参考。方法 收集2013年1月~2019年6月我院收治的156例妊娠期周围性面瘫（耳带状疱疹及贝尔面瘫）患者的临床资料，根据治疗方案将其分为仅使用激素组42例、电针刺组54例及激素联合电针刺组60例，比较治疗前后面瘫House-Brackmann分级各等级分布、神经电生理检查结果（瞬目反射、面神经电图）、随访6个月母婴健康状况。结果 治疗后，三组House-Brackmann分级比较，差异有统计学意义（P＜0.05）；激素联合电针刺组痊愈总有效率为86.67%，高于激素组的66.67%及电针刺组的70.37%，差异有统计学意义（P＜0.05）。激素联合电针刺组瞬目反射与面神经电图指标优于电针刺组与激素组，差异有统计学意义（P＜0.05）；激素组与电针刺瞬目反射与面神经电图指标比较，差异无统计学意义（P＞0.05）。随访6个月，三组母婴均健康。结论 三种治疗方案的治疗效果存在差异，其中激素联合电针刺治疗妊娠期周围性面神经麻痹患者疗效确切，可进一步改善瞬目反射与面神经电图指标，治疗效果优于其他两种单独使用方法。
Abstract:
Objective To compare the effects of various treatments for peripheral facial nerve palsy during pregnancy, in order to provide reference for clinical treatment.Methods The clinical data of 156 patients with peripheral facial paralysis during pregnancy (herpes zoster auris and Bell’s facial paralysis) who were admitted to our hospital from January 2013 to June 2019 were collected. According to the treatment plan, they were divided into a hormone-only group of 42 cases, 54 cases in the electro-acupuncture group and 60 cases in the hormone-combined electro-acupuncture group, comparing the distribution of the House-Brackmann grades of paralysis before and after treatment, the neuro-electrophysiological examination results (blink reflex, facial nerve electrogram), and the health of the mother and baby during the 6-month follow-up situation.Results After treatment, the House-Brackmann classification of the three groups was compared,the difference was statistically significant (P<0.05);The total effective rate of healing in the hormone combined with electroacupuncture group was 86.67%, which was higher than the 66.67% in the hormone group and 70.37% in the electroacupuncture group, the difference was statistically significant (P<0.05).The indicators of blink reflex and facial nerve electrogram in the hormone combined with electroacupuncture group were better than those of the electroacupuncture group and the hormone group,the difference was statistically significant (P<0.05);There was no statistically significant difference between hormone group and electroacupuncture blinking reflex and facial nerve electrogram indicators (P>0.05).After 6 months of follow-up, the mothers and babies in the three groups were healthy.Conclusion There are differences in the therapeutic effects of the three treatment programs. Among them, hormone combined with electroacupuncture has a definite effect in the treatment of patients with peripheral facial nerve palsy during pregnancy, which can further improve the blink reflex and facial nerve electrogram indicators. The therapeutic effect is better than the other two methods alone.

参考文献/References:

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更新日期/Last Update: 1900-01-01