CAJ | 학술논문

目的观察神经训导康复技术(中医导引反馈技术)对周围性面瘫的临床康复效果.方法 30例周围性面瘫患者应用神经训导康复系列技术治疗,包括面部运动程序重建、面部神经训导式PT、局部红外线照射、局部超短波、面部肌肉中频电刺激和面部肌肉自我锻炼,1次/d,共治疗30次.治疗前和治疗结束后采集患侧后面部额肌、笑肌、口轮匝肌、眼轮匝肌表面肌电信号数据,进行面神经Portmann简易功能评分以及面神经House-Brackmann分级评估,数据进行统计学分析.结果治疗前、后面部额肌、笑肌、口轮匝肌、眼轮匝肌表面肌电信号强度、面神经Portmann简易功能评分和House-Brackmann功能分级差异均有统计学意义[80 ±43比14 ±9,105 ±41比23±14,81 ±55比19 ±21,109 ±42比22±12,(16.2±2.9)分比(7.3±2.2)分](均P ＜0.01).30例中完全恢复15例(50.0％)；部分恢复10例(33.3％),尚好3例(10.0％),差2例(6.7％).结论神经训导康复技术是康复周围性面瘫患者面神经功能的有效方法.
목적 관찰신경훈도강복기술(중의도인반궤기술)대주위성면탄적림상강복효과.방법 30례주위성면탄환자응용신경훈도강복계렬기술치료,포괄면부운동정서중건、면부신경훈도식PT、국부홍외선조사、국부초단파、면부기육중빈전자격화면부기육자아단련,1차/d,공치료30차.치료전화치료결속후채집환측후면부액기、소기、구륜잡기、안륜잡기표면기전신호수거,진행면신경Portmann간역공능평분이급면신경House-Brackmann분급평고,수거진행통계학분석.결과 치료전、후면부액기、소기、구륜잡기、안륜잡기표면기전신호강도、면신경Portmann간역공능평분화House-Brackmann공능분급차이균유통계학의의[80 ±43비14 ±9,105 ±41비23±14,81 ±55비19 ±21,109 ±42비22±12,(16.2±2.9)분비(7.3±2.2)분](균P ＜0.01).30례중완전회복15례(50.0％)；부분회복10례(33.3％),상호3례(10.0％),차2례(6.7％).결론 신경훈도강복기술시강복주위성면탄환자면신경공능적유효방법.
Objective To observe the effects of the neurological training technique for the treatment of peripheral facial paralysis.Methods Thirty cases of peripheral facial paralysis were treated with neurological training technique,which included neurological training type face PT20 minutes/time,facial neurological training 50 minutes/time,local and infrared ray irradiation 20 minutes/time,local FM 20 minutes/time,facial muscle electrical stimulation 20 minutes/time.Each facial paralysis were treated for total 30 times.The evaluations were made before and after the treatment including the data of surface electromyography signal(sEMG) of facial frontalis muscle,eye muscle,orbicularis oris muscle and smile muscle.The facial nerve portmann simple function score and the facial nerve grading of House-Brackmann efficacy were assessed and analyzed.Results There were significant difference in portmann facial nerve function score and EMG data before and after treatment (P ＜ 0.01).There were significant improvement in House-Brackmann grading assessment.Conclusion Neuralogical training technology is an effective treatment for the peripheral facial paralysis.