创伤性面瘫物理疗法的临床研究

A clinical study on physiotherapy for treatment of traumatic facial nerve injury

目的比较超短波加离子导入疗法(A组)与电刺激加离子导入疗法(B组)治疗创伤性面瘫的效果。方法对39例创伤性面神经损伤患者进行临床对照研究,通过量化面神经功能评价、神经电图检查及面神经功能的主观评价比较面神经损伤的治疗效果。结果创伤性面瘫以青年男性多见,损伤程度以中、重度为主;对于神经损伤轻、中度患者,A组与B组均能促进神经恢复,B组神经功能开始恢复时间早于A组。对于神经损伤重度患者,A组与B组神经恢复率高于对照组,两组均不能减少并发症出现率。结论超短波加离子导入疗法与电刺激加离子导入疗法均能促进面神经损伤的恢复,但对于减少并发症发生率并无帮助。

Objective To investigate the effects of ultra - short wave with iontophoresis （group A） and electric stimulation with iontophoresis （group B） for traumatic facial nerve injury. Methods Thirty- nine patients with traumatic facial nerve injury were studied, The following indexes were observed： ①Quantitive facial nerve estimate; ② electroneurography;③visual assessment, After one year follow-up, the outmmes were analyzed with statistical methods. Results Young men were more easily subject to traumatic facial nerve injury, The most common injury was knife trauma, followed by automobile accidents, The degree of injuries often was moderate or severe; electric stimulation with iontophoresis and ultra- short wave with iontophoresls can both facilitate the facial nerve regeneration with minor or moderate injuries. However, the former recovered earlier than the latter; for the severe facial nerve iniury, the recovery rates of group A and group B were both higher than the mntrol group, the former two groups had no use in decreasing the complications, Conclusion Both electric stimulation with iontophoresis and ultra - short wave with iontophoresis can facilitate the facial nerve regeneration, but they have no use in decreasing the complications.