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马跃文,董继超,杜宝琮,马庆平.面肌运动训练对特发性面神经麻痹功能恢复的影响[J].中国康复医学杂志,2009,24(6):543~546
面肌运动训练对特发性面神经麻痹功能恢复的影响    点此下载全文
马跃文  董继超  杜宝琮  马庆平
中国医科大学附属第一医院康复医学科,沈阳,110001
基金项目:
DOI:
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摘要:
      目的:探讨面肌运动训练对特发性面神经麻痹功能恢复的促进作用。方法:将138例特发性面神经麻痹患者随机分为综合康复治疗组48例,物理治疗组40例,对照组50例。对照组单纯给予醋酸泼尼松、甲钴胺、VitB1治疗;物理治疗组在药物治疗同时给予超短波、紫外线和直流电局部导入VitB1治疗;综合康复组则是在物理治疗基础上再给予面部肌肉运动训练。用多伦多面神经评定系统分别在治疗前和治疗后第30天进行评定。结果:治疗后第30天面神经功能评分与各组治疗前相比有显著性意义。综合康复组和物理治疗组面神经评分都明显优于对照组(
关键词:特发性面神经麻痹  超短波  紫外线  直流电  康复
Effect of facial muscle movement on functional recovery of idiopathic facial paralysis    Download Fulltext
Dept. of Rehabilitation, The First Hospital of Chinese Medical Sciences University, Shenyang,110001
Fund Project:
Abstract:
      Objective:To explore the effect on promoting functional recovery of idiopathic facial paralysis through facial muscle movement training. Method: One handred and thirty-eight patients with idiopathic facial paralysis were randomly assigned to a comprehensive rehabilitation group(rehab,n=48),physical therapy group(physiotherapy, n=40) and usual care group(control, n=50). Prednisone acetate, methylcobalamin and VitB1 were simply given to the control patients. Patients in physical therapy group were treated by ultrashort wave, ultraviolet(UV) rays and inducing VitB1 by direct current in addition to drug therapy. On the basis of physical therapy, facial muscle movement training was added to comprehensive rehabilitation group. Assessment was measured before and the 30d after treatment with the system of Sunnybrook. Result: On day 30 after treatment, the neurological scores of Sunnybrook comparing with pre-treatment showed very significantly different(P<0.001). Compared with control group, scores of facial nerve of patients in rehab and physical therapy group were significantly higher,respectively(P<0.01). Moreover the score of rehab patients was higher than physiotherapy′s. Conclusion: Comprehensive rehabilitation can quickly relieve symptoms and promote functional recovery of idiopathic facial paralysis.
Keywords:idiopathic facial paralysis  ultrashort wave  ultraviolet rays  direct current  rehabilitation
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