星状神经阻滞治疗儿童周围性面瘫60例的临床总结

Stellate ganglion block to treat the pediatric peripheral facial palsy in 60 cases

目的探讨星状神经节阻滞治疗儿童周围性面瘫的临床疗效。方法诊断明确的周围性面瘫息儿60例,星状神经节阻滞全部采用气管旁人路,注入1%利多卡因4 ml,维生素B_(12) 500μg,治疗5次为1疗程,隔日1次,不超过2个疗程,治疗结束后半个月进行疗效判定,作为最终结果。结果全部60例患者,治愈54例,治愈率90%,星状神经节阻滞的疗效受病程影响较大,组间比较差异有统计学意义(P<0.05),而与曾使用何种治疗方法无关(P>0.05)。结论星状神经节阻滞是治疗小儿面瘫的一种有效方法。

Objective To study the therapeutic effect of stellate ganglion block（SGB） on pediatric peripheral facial palsy. Methods Sixty patients with facial palsy were treated with SGB by injecting 1% lidocaine 4 ral and vitamin B12 500μg through the paratracheal approach. Once per two days and five times were a course of treatment. The result was evaluated after half a month. Results The cure rate was 90% （54/60 cases）. The efficacy had significant relationship with courses of disease （P〈0.05） ,but no significant relationship were found with different therapeutic methods to be used before （P〉0.05）. Conclusion Stellate ganglion block is an effective method for treatment of pediatric peripheral facial palsy.