CAJ | 학술논문

目的：探讨面肌痉挛的治疗方法，面肌痉挛是我科的常见病，为半侧面部肌肉阵发性不自主抽搐，中年以上女性多见。其病因迄今不明，多认为系面神经在内耳门附近受小脑后下动脉分支压迫所致。当血管过度迂曲，伸长拉紧或硬化时始显症状。推测受压处髓鞘萎缩，传入感觉纤维与传出运动纤维发生“短路”，激活运动纤维引起面肌痉挛。又谓从面神经发出有运动抑制纤维，也分布于肌肉中，抑制纤维兴奋消失时，面肌就痉挛[1]。方法：本科室从2010年1月-2010年12接诊了65例面肌痉挛患者，采用患者自愿接受的治疗方法分为两组，治疗组A型肉毒素注射加火针40例。对照组西药25例，治疗1个月后患者的症状恢复情况。结果：治疗组有效率为92.5%，对照组药物治疗有效率为64.0%，采用A型肉毒素注射配合火针治疗效果好，疗效好，值得推广。
목적：탐토면기경련적치료방법，면기경련시아과적상견병，위반측면부기육진발성불자주추휵，중년이상녀성다견。기병인흘금불명，다인위계면신경재내이문부근수소뇌후하동맥분지압박소치。당혈관과도우곡，신장랍긴혹경화시시현증상。추측수압처수초위축，전입감각섬유여전출운동섬유발생“단로”，격활운동섬유인기면기경련。우위종면신경발출유운동억제섬유，야분포우기육중，억제섬유흥강소실시，면기취경련[1]。방법：본과실종2010년1월-2010년12접진료65례면기경련환자，채용환자자원접수적치료방법분위량조，치료조A형육독소주사가화침40례。대조조서약25례，치료1개월후환자적증상회복정황。결과：치료조유효솔위92.5%，대조조약물치료유효솔위64.0%，채용A형육독소주사배합화침치료효과호，료효호，치득추엄。
Objective: To study the methods on hemifacial spasm, which was common diseases expressed as paroxysmal involuntary twitching of hemi facial muscles. The thought that facial nerve was oppressed by inferior cerebellar artery near the internal auditory meatus often been seen. Symptoms appeared when vascular tortuosity, or hardening, tension. Myelin pressed atrophy,short circuit happened at afferent sensory fibers and efferent motor fibers, motor fibers been activated, all above resulted hemifacial spasm. Inhibiting movement fibers emitted from facial nerve, and also distribution in muscles, hemifacial spasm appeared when suppression fiber excited disappear. Methods:65 patients were divided into two groups, 40 patients in the treatment group were given BTXA injection, 25 patients in the control were given western medicine. Results:The total efficacy in the treatment was 92.5%, in another it was 64.0%. BTXA injection showed better effects, and was worthy of promotion.