茎乳孔附近封闭联合红外线照射治疗特发性面神经麻痹疗效观察

Observation on therapeutic effect of closure near stylomastoid foramen combined with infrared radiation for idiopathic facial paralysis

目的 观察茎乳孔附近封闭联合红外线照射治疗特发性面神经麻痹的临床疗效。方法 通过随机的方式将118例特发性面神经麻痹患者分为对照组60例,治疗组58例。对照组采用静脉滴注地塞米松磷酸钠注射液治疗,治疗组给予醋酸泼尼松龙注射液+利多卡因注射液+维生素B1注射液进行茎乳孔附近封闭联合红外线照射治疗。比较两组临床疗效及不良反应。结果 治疗组总有效率为93.1%,显著高于对照组的76.7%,差异有统计学意义(P<0.05);治疗组不良反应发生率为5.2%,明显低于对照组的23.3%,差异有统计学意义(P<0.01)。结论 茎乳孔附近封闭联合红外线照射治疗特发性面神经麻痹疗效好,不良反应少,安全性高,值得临床推广。

Objective To observe the clinical effect of closure near stylomastoid foramen combined with infrared radiation for idiopathic facial paralysis. Methods 118 patients with idiopathic facial paralysis were randomly divided into control group(60 cases) and treatment group(58 cases).The control group were treated by intravenous drip of dexamethasone sodium phosphate injection,and the treatment group were treated with prednisolone acetate injection + lidocaine injection + vitamin B1 injection for closure and treatment near the stylomastoid foramen in combination with infrared irradiation.And then,the clinical efficacy and adverse reactions of the two groups were compared. Results The total effective rate in the treatment group was 93.1%,which was significantly higher than that in the control group(76.7%),difference was statistically significant( P <0.05).And the incidence of adverse reactions was 5.2% in the treatment group,which was significantly lower than that(23.3%) in the control group,difference was statistically significant( P <0.01). Conclusion Closure near stylomastoid foramen combined with infrared radiation for idiopathic facial paralysis is effective with few adverse reactions and high safety,which is worthy of clinical application.