CAJ | 학술논문

目的：分析神经肌肉电刺激(neuromuscular electrical stimulation,NMES)对难治性周围性面瘫的疗效。方法选择临床确诊的54例难治性周围性面瘫患者为研究对象,随机分为治疗组(36例)与对照组(18例),给治疗组以神经肌肉电刺激治疗,给对照组以常规内科治疗及康复治疗,疗程20d,比较2组年龄、性别、病程、治疗前后House-Bmckmann(HBN)量表评分和治疗后疗效。结果治疗前2组年龄、性别、病程、HBN 评分差异无统计学意义(P >0.05)；治疗20d 后,2组患者HBN 评分比较差异有统计学意义(P <0.05),治疗组好转率明显高于对照组(P <0.05)。结论 NMES 治疗对难治性周围性面瘫疗效好,为周围性面瘫提供了一种新的治疗方法。
목적：분석신경기육전자격(neuromuscular electrical stimulation,NMES)대난치성주위성면탄적료효。방법선택림상학진적54례난치성주위성면탄환자위연구대상,수궤분위치료조(36례)여대조조(18례),급치료조이신경기육전자격치료,급대조조이상규내과치료급강복치료,료정20d,비교2조년령、성별、병정、치료전후House-Bmckmann(HBN)량표평분화치료후료효。결과치료전2조년령、성별、병정、HBN 평분차이무통계학의의(P >0.05)；치료20d 후,2조환자HBN 평분비교차이유통계학의의(P <0.05),치료조호전솔명현고우대조조(P <0.05)。결론 NMES 치료대난치성주위성면탄료효호,위주위성면탄제공료일충신적치료방법。
Objective To analyze the effects of neuromuscular electrical stimulation(NMES) on refractory peripheral fa-cial paralysis. Methods 54patients with refractory peripheral facial paralysis were randomly divided into treatment group (36 ca-ses) and control group (18 cases). The treatment group was given neuromuscular electrical stimulation therapy and the control group was given conventional medical treatment and rehabilitation treatment. The course of treatment was 20 days. Age, gender, disease duration were compared. HBN score of two groups were evaluated and compared before and after 20 days of treatment and efficacy of two groups were compared. Results There were no significant difference among age, gender, disease duration, HBN score of the two groups. (P > 0. 05). After 20 days treatment, HBN score of the treatment group were higher than the control group (P < 0. 05). Improvement rate of the treatment group was higher than the control group (P < 0. 05). Conclusion NMES treatment for refractory peripheral facial paralysis get good curative effect, providing a new method of treatment for peripheral facial paralysis.