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目的探讨中西医结合治疗面神经炎的方法和效果。方法西药采用维生素B1、维生素B12和皮质激素针剂;中药采用口服面瘫回春汤,联合针灸治疗、按摩患侧面部,并进行表情肌的功能训练。结果治疗34病例中,临床症状全部消失,面肌功能恢复正常31例;面部外观无异常,临床症状基本消失,但仍留轻微面肌功能障碍3例,总有效率100.0%。结论起病后应立即采取措施,促进局部水肿的消退,以免神经进一步受损,常用高渗溶液利尿剂、维生素B类以及短期内使用激素等内科保守治疗。面瘫回春汤组方严密、合理可行,结合针灸治疗,再加上面部按摩,疗效较好。
Objective To explore the method and effect of treating traditional Chinese and western medicine for facial neuritis. Methods Western medicine used vitamin B1, vitamin B12 and corticosteroid injection; traditional Chinese medicine using oral facial paralysis Huchun Decoction, combined with acupuncture treatment, massage the affected side, and the performance of muscle training. Results In the 34 cases of treatment, all the clinical symptoms disappeared and facial muscle function returned to normal in 31 cases. The facial appearance was normal and the clinical symptoms basically disappeared. However, 3 cases of minor facial dysfunction remained with the total effective rate of 100.0%. Conclusion Immediately after onset, measures should be taken to promote local edema subsided in order to avoid further nerve damage, commonly used hypertonic solution diuretics, vitamin B class and the short-term use of hormones and other medical conservative treatment. Facial paralysis Huichun Decoction group side, reasonable and feasible, combined with acupuncture treatment, coupled with facial massage, the effect is better.