经颅磁刺激治疗早期特发性面神经炎的临床疗效分析

Analysis on the Clinical Efficacy of Transcranial Magnetic Stimulation in Treatment of Early Idiopathic Facial Paralysis

目的分析经颅磁刺激治疗早期特发性面神经炎的临床疗效。方法选取在2014年10月至2015年10月来我院就诊的70例早期特发性面神经炎患者,随机分为观察组和对照组各35例。两组患者均采用逐步递减口服类固醇以及常规针灸治疗,观察组在此基础上给予重复经颅磁刺激(r TMS)治疗,对照组给予假性刺激治疗。比较两组患者的HB(House-Brackmann面神经分级标准)分级情况和康复情况。结果观察组的HB分级情况显著优于对照组,完全康复率显著高于对照组(91.43%vs65.71%),差异具有统计学意义(P<.05)。观察组完全康复患者的恢复时间为(2.58±1.01)月,显著短于对照组的(4.12±1.56)月,差异具有统计学意义(P<0.05)。结论经颅磁刺激治疗早期特发性面神经炎的临床疗效较好,值得推广应用。

Objective To analyze the clinical effect of transcranial magnetic stimulation（TMS） in treatment of early idiopathic facial paralysis. Methods From O ctober 2014 to October 2015, 70 cases of patients with early idiopathic facial paralysis treated in our hospital were selected and randomly divided into observation group and control group, with 35 cases in each group. B oth groups were given the treatment of gradually decreasing oral steroids and routine acupuncture, the observation group was treated with repeated TMS on this basis,the control group was given false stimulation. The situations of HB grades（House-B rackman Facial Nerve Scale） and rehabilitation in two groups were compared. Results The situations of HB grades in observation group were better than those in control group, the complete recovery rate was higher than that in control group（91.43% vs 65.71 %）, the difference was statistical difference（P〈0.05）. The recovery time of patients fully recovered in observation group was（2.58 ± 1.01） months, shorter than（4.12 ± 1.56） months in control group, with statistical difference（P〈0.05）. Conclusions Transcranial magnetic stimulation in treatment of early idiopathic facial paralysis has better clinical effect, which is worthy of promotion and application.