周围性面瘫恢复后继发面肌痉挛58例分析

Analysis of Prosopospasm after recovering from the Peripheral facial paralysis

目的探讨周围性面瘫恢复后继发面肌痉挛原因及预防措施。方法对2009年2月～2012年1月经康复科住院及门诊诊断为周围性面瘫继发面肌痉挛58例患者的原因进行分析,并针对相关原因拟定预防措施。结果 58例患者中发病时患侧耳痛伴偏头痛39例(67%),发病时患侧乳突前缘疼痛伴味觉减退19例(33%)。58例患者中41例(70%)在7日内予电针治疗,17例(30%)患面瘫者在7日内予面部按摩刺激,以上患者在面瘫康复后,都继发患侧面肌痉挛。结论周围性面瘫急性期进行强电针和按摩属于超强刺激,这样的超强刺激是面肌痉挛继发的主要因素,在临床中应高度重视,减轻刺激强度,以减少和避免继发面肌痉挛的发生。

Objective To investigate the reason why Peripheral facial paralysis triggered Prosopospasm by strong stimulation in the acute phase and how to prevent it. Methods From February 2009 to January 2012, there were 58 cases diagnosed as the peripheral facial paralysis and triggered the prosopospasm later in the rehabilitation department of our hospital. We reviewed and analyzed these cases. Results 39 cases （67%） with the ear pain and headache, 19 cases （33%） with the front pain of side mastoid. 41 cases （70%） treated by the transcutaneous electrical nerve stimulation （TENS） within 7 days, and the rest 17 cases （30%） treated by the facial massage within 7 days. And all the cases triggered the prosopospasm after recovering from the peripheral facial paralysis. Conclusion Author thinks it is too excessive to treat the peripheral facial paralysis by the transcutaneous electrical nerve stimulation （TENS） or the facial message in the acute phase. That is the major factor why triggered the Prosopospasm after recovering the Peripheral facial paralysis.