CAJ | 학술논문

目的：探讨生物肌电反馈治疗特发性面神经麻痹的疗效。方法118例特发性面神经麻痹患者随机分为观察组和对照组,对照组为药物加功能训练治疗,观察组在对照组基础上加用生物肌电反馈治疗。对两组面神经功能分级,进行疗效评定。结果总有效率比较,Ⅱ~Ⅲ级面神经麻痹,两组差异无显著性(P>0.05),Ⅳ~V级,观察组高于对照组(P≤0.05)；治愈率比较,Ⅱ级特发性面神经麻痹两组差异无显著性(P>0.05),Ⅲ级以上则观察组优于对照组；Ⅱ级面神经麻痹,两组开始恢复时间相比差异无显著性(P>0.05),但观察组完全恢复时间明显缩短(P≤0.05)；Ⅲ级以上,观察组开始恢复时间及完全恢复时间均明显少于对照组(P≤0.05)。结论生物肌电反馈治疗能显著提高特发性面神经麻痹的疗效。
목적：탐토생물기전반궤치료특발성면신경마비적료효。방법118례특발성면신경마비환자수궤분위관찰조화대조조,대조조위약물가공능훈련치료,관찰조재대조조기출상가용생물기전반궤치료。대량조면신경공능분급,진행료효평정。결과총유효솔비교,Ⅱ~Ⅲ급면신경마비,량조차이무현저성(P>0.05),Ⅳ~V급,관찰조고우대조조(P≤0.05)；치유솔비교,Ⅱ급특발성면신경마비량조차이무현저성(P>0.05),Ⅲ급이상칙관찰조우우대조조；Ⅱ급면신경마비,량조개시회복시간상비차이무현저성(P>0.05),단관찰조완전회복시간명현축단(P≤0.05)；Ⅲ급이상,관찰조개시회복시간급완전회복시간균명현소우대조조(P≤0.05)。결론생물기전반궤치료능현저제고특발성면신경마비적료효。
Objective To study the effect of peripheral facial paralysis treated by the biological EMG feedback. Method 118 cases of peripheral facial paralysis were selected and divided randomly into observed group and con-trolled group. The treatment of the control group were drug and function training treatment. The treatment of the observation group were drug, function training treatment and using the biological EMG feedback. Classification of two groups of facial nerve function, carries on the curative effect evaluation. Result On the total efficiency,there were no difference between the observed group and controlled group of gradeⅡ~Ⅲfacial paralysis(P>0. 05),but the observed group were higher than the control group of gradeⅣ~Vfacial paralysis(P≤0. 05). On the cure rate, there were no difference between the observed group and controlled group of gradeⅡperipheral facial paralysis( P>0. 05),and the observed group were higher than the control group of more than grade Ⅲ(P≤0. 05). To the began recovery time, two groups of grade Ⅱ facial paralysis had no significant difference(P>0. 05),but to completed recovery time,the observation group was significantly shorter(P≤0. 05). The began and completed recovery time of the observed group were significantly less than the control group of more than gradeⅢfacial paralysis (P≤0. 05). Conclusion Biological electromyographic feedback therapy could improve the therapeutic effect significantly for peripheral facial paralysis.