摘要
目的:在常规治疗基础上,对比特发性面神经麻痹患者应用直流电VitB1和碘离子导入的疗效差别,筛选更加适合的治疗方法组合。方法:按照病例纳入标准,选择特发性面神经麻痹患者44例,随机分为A、B两组,A组21例,B组23例。所有患者的药物治疗和急性期的物理治疗均相同。恢复期,给予红外线、神经肌肉电刺激、面部运动功能训练作为基础治疗,另外A组患者配合VitB1直流电导入疗法,B组患者配合碘离子直流电导入,两组患者恢复期均连续治疗4周。治疗前和治疗结束后,应用面神经功能观察指标和计分标准对两组患者的面神经功能进行评分并统计分析。结果:两组患者治疗后各自的面神经功能评分值均较治疗之前显著降低(P<0.001),两组间比较VitB1组疗效优于碘离子导入组(P<0.05)。结论:综合性康复治疗对于特发性面神经麻痹有较好疗效,其中直流电VitB1导入治疗的组合疗效优于碘离子导入治疗的组合。
Objective：To choose a better therapies combination through comparing the effects of VitB1 ionophoresis and iodine ionophoresis on idiopathic facial paralysis.Method：Forty-four idiopathic facial paralysis patients were enrolled according to the standard, and divided into group A and group B randomly.The medication and physical therapies in acute phase of both groups were all the same.In convalescence stage, all the patients were treated with infrared, neuromuscular electrical stimulation, facial motor function exercises.Except all those treatments, VitB1 ionophoresis was applied for group A, and iodine ionophoresis for group B.All these convalescence stage treatments lasted for 4 weeks continuously.All patients＇ facial nerve function were assessed before and after treatment and compared.Result：After all these combined treatments, the scores of facial nerve function in two groups reduced significantly （P0.001）, and the effect in group A were better than that in group B （P0.05）.Conclusion：All comprehensive rehabilitation therapies for the idiopathic facial paralysis could provide better curative effect, and the effects of combination of VitB1 ionophoresis was more preferable than the combination of iodine ionophoresis.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2010年第8期760-763,共4页
Chinese Journal of Rehabilitation Medicine
基金
教育部高等学校博士学科点专项科研基金新教师课题(200805581139)
中山大学医科青年教师科研启动基金(2008011)
广东省医学科研课题(B2009056)
关键词
特发性面神经麻痹
康复治疗
离子导入
idiopathic facial paralysis
rehabilitation therapy
ionophoresis
