摘要
目的探讨红外偏振光治疗Bell麻痹患者的疗效以及肌电图评估的意义。方法收集2013年1月-2013年10月符合诊断标准的BeU麻痹患者36例，运用House-Brackman面神经功能分级系统将患者分为轻度（Ⅱ～Ⅲ级）和重度（Ⅳ～Ⅴ级）；将轻度患者16例随机分为对照组8例，试验组8例；重度患者20例随机分为对照组10例，试验组10例；对照组给予常规治疗，试验组除给予常规治疗外，加用红外偏振光；所有患者治疗前、后运用肌电图检测，比较面神经末端运动潜伏期（DML）及瞬目反射R1潜伏期。结果在轻度患者试验组与对照组比较，面神经DML及瞬目反射R1潜伏期无显著差异（P〉0.05）；在重度患者试验组面神经DML及瞬目反射R1潜伏期明显缩短（P〈0．05）。结论红外偏振光治疗重度Bell麻痹有其疗效，肌电图评估可作为客观指标。
Objective To investigate the therapeutic efficacy of infrared polarized light and the significance of electromyographic evaluation in patients with Bell＇ s palsy. Methods There were 36 cdnsecutive Patients with Bell＇s palsy between January and October, 2013, who met the diagnostic criteria were enrolled. House-Brackman grading system of facial nerve function was applied, and the patients were divided into mild （grade II- III ） and severe （grade 1 V-V ） group. In the mild group, there were 16 patients who were randomly divided into control and trial subgroups, each 8 patients; in the severe group, there were 20 patients who were randomly divided into control and trial subgroups, each 10 patients. The patients in the control subgroups received conventional therapy, and those in trial subgroups received the therapy of infrared polarized light in addition to conventional therapy. Eleetromyographic studies were performed in all patients, the distal motor latency （DML） of the facial nerve and R1 latency of blink reflex before and after treatment were compared. Results In the mild group, there was no significant difference （P〉0. 05） both in the DML and R1 latency between the control and trial subgroups. In the severe group, both DML and R1 latency in the trial subgroup significantly shortened （P〈0. 05）, compared with those in the control subgroup. Conclusions The therapy of infrared polarized light on severe Bells palsy has its effect, and electromyographic evaluation can be used as objective indicators.
出处
《卒中与神经疾病》
2014年第2期90-93,共4页
Stroke and Nervous Diseases
关键词
Bell麻痹
红外偏振光
肌电图
Bells palsy Infrared polarized light Electromyography
