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背景:目前对周围性面神经麻痹的治疗仍停留在针灸、针刺、针刺加理疗、穴位注射、埋线、割治等传统的有创治疗方法,不能直接作用于面神经的损伤病变部位,疗程长,治愈率低。而恒磁有氧循经无创治疗方法恰好弥补了传统治疗方面的不足。目的:探讨应用恒磁有氧循经无创方法治疗周围性面神经麻痹患者的疗效。设计:病例分析。单位:解放军第四军医大学口腔医院面瘫科。对象:选择1998-06/2004-06全国18省市、自治区初诊为周围性面神经麻痹患者1500例,其中男935例,女565例;年龄1.5～19岁103例,20～50岁1105例,51～74岁292例;左侧672例,右侧828例;病程1d～40年。方法:所有患者均按要求在选择的面神经麻痹有效点[面神经麻痹1号点:位于患侧耳垂后乳突下方凹陷处,相当面神经出经乳孔处。面神经麻痹2号点:位于患侧耳后乳突弧形高点处。面神经麻痹3号点:位于面神经麻痹2号穴上约3.33cm(1寸)处。面神经麻痹4号点:位于患侧外耳道后方约0.5cm与耳轮脚下0.5cm相交处。面神经麻痹5号点:位于上耳屏尖前约1寸处。面神经麻痹6号点:位于患侧耳廓上缘顶点处]及配穴(牵正、地仓、双合谷)上进行20min的恒磁有氧治疗,1次/d,10d为1个疗程,每疗程间休息两三天,再行下一个疗程,共治疗2个疗程。取点治疗与吸氧同时进行,吸氧方法:20min/次,1次/d,10d为1个疗程,吸氧流量一般为2～4L/min。疗效评估:进行额纹、皱眉、闭眼、吹哨、鼓腮、微笑时患侧和健侧动作一致与否的比较,同时进行示齿时和静止时的患侧和健侧的鼻唇沟和人中沟一致与否的比较。健患两侧石肌功能的比较可通过健患两侧的6点4线测量法获得。主要观察指标:临床疗效评定结果。结果:1500例周围性面神经麻痹患者均进入结果分析,中途无脱落。经20d治疗后恢复1385例(92.33%);显效92例(6.13%);好转22例(1.74%);无效1例(0.07%),总有效率为99.93%。结论:采用恒定磁场并有氧方法具有无痛、无创伤、无交叉感染、无面神经二次损伤,操作安全、简便,疗程短,治愈率高的特点,可明显改善面神经麻痹症状,恢复面肌功能。
BACKGROUND: Currently, the treatment of peripheral facial paralysis remains in the traditional invasive treatment methods such as acupuncture, acupuncture, acupuncture plus physical therapy, acupoint injection, embedding, cutting and so on. It can not directly affect the lesion site of facial nerve. Long, low cure rate. The constant magnetic oxygen by non-invasive treatment methods just make up for the lack of traditional treatment. Objective: To investigate the efficacy of continuous magnetic oxygen therapy through non-invasive treatment of peripheral facial paralysis. Design: Case Analysis. Unit: Department of Paralysis, Stomatological Hospital, Fourth Military Medical University of PLA. PARTICIPANTS: A total of 1 500 patients with peripheral facial paralysis were selected from 18 provinces and autonomous regions in China from June 1998 to June 2004, including 935 males and 565 females; 103 aged from 1.5 to 19 years and 1,105 to 20-50 years old, 51 to 74 years old 292 cases; left 672 cases, right 828 cases; course of 1d ~ 40 years. METHODS: All patients were required to be validated at the selected facial nerve palsy [Facial Paralysis Complicated Point 1: Located in the depression below the posterior mastoid of the affected ear, rather than the facial nerve passing through the breast. Facial paralysis 2 point: located in the ipsilateral mastoid arc at the high point. Facial Paralysis Point 3: Located in facial nerve paralysis on the 2nd hole about 3.33cm (1 inch) Department. Facial paralysis No. 4 point: located in the affected side of the external auditory canal behind the 0.5cm 0.5cm at the ear wheel at the intersection. Facial paralysis No. 5 point: about 1 inch in front of the tragus tip. Facial paralysis on the 6th point: located in the apex of the affected ear on the edge of the vertex] and with the acupoints (pull right, to warehouse, Shuanghe Valley) for 20min of constant magnetic aerobic treatment, 1 / d, 10d for a course of treatment, each Rest two or three days during treatment, and then the next course of treatment, a total of 2 courses of treatment. Take some treatment and oxygen at the same time, oxygen inhalation method: 20min / time, 1 / d, 10d for a course of treatment, oxygen flow is generally 2 ~ 4L / min. Efficacy assessment: the amount of pattern, frown, eyes closed, whistling, drum cheek, smile and ipsilateral contralateral movement and contralateral consistency at the same time when the dentate and still when the ipsilateral and contralateral nasolabial fold Comparison of people in the same groove or not. Comparison of health function on both sides of the muscle function can be obtained by measuring the 6 points 4 lines on both sides of the health. MAIN OUTCOME MEASURES: Clinical Efficacy Assessment Results. Results: 1500 cases of peripheral facial paralysis patients were involved in the analysis of the results, without falling off halfway. After 20 days of treatment, 1385 cases (92.33%) were recovered; 92 cases (6.13%) were markedly effective; 22 cases (1.74%) were improved; 1 case (0.07%) was ineffective and the total effective rate was 99.93%. Conclusion: The method of constant magnetic field and aerobic has painless, noninvasive, no cross-infection, no secondary facial nerve injury, safe and convenient operation, short course of treatment and high cure rate. It can significantly improve facial palsy symptoms, Features.