脑卒中后中枢性面瘫治疗研究进展

Research Progress in the Treatment of Central Facial Palsy after Stroke

中枢性面瘫是脑卒中后严重的后遗症之一,约有70%的卒中患者患病后出现了中枢性面瘫,其中30%的患者出现了永久性面瘫。临床表现以病灶对侧眼眶以下面部表情肌群的运动障碍为主要特征,以口脸歪斜为主要表现症状,影响患者美观度的同时常伴有构音障碍、流涎、夹食、吞咽咀嚼无力等症状,是临床较难治愈的顽症之一。从临床研究来看,主要治疗方法有针刺、拔罐、艾灸、中药汤剂、面部康复训练、物理因子治疗等。本文对近5年发表的关于不同治疗方法治疗脑卒中后中枢性面瘫的文献进行分类整理,旨在探索更科学、更合理的研究方案,进一步提高脑卒中后中枢性面瘫的康复效果。

Central facial palsy is one of the serious sequelae after stroke.About 70%of stroke patients with the disease develop central facial palsy,and 30%of them develop permanent facial palsy.The clinical manifestation is characterized by the impaired movement of the facial expression muscles below the orbit on the opposite side of the lesion,and the main manifestation symptom is the distortion of the mouth and face,which affects the patient's aesthetics and is often accompanied by dysarthria,salivation,food clamping,and weakness of swallowing and chewing,etc.It is one of the more difficult persistent clinical diseases to cure.From clinical research,the main treatment methods include acupuncture,cupping,moxibustion,herbal tonics,facial rehabilitation training,physical factor therapy,etc.This paper categorizes the literature published in the past 5 years on different treatment methods for post-stroke central facial palsy,with the aim of exploring more scientific and reasonable research protocols to further improve the rehabilitation effect of post-stroke central facial palsy.