腕踝针与体针联合治疗贝尔氏麻痹加速神经康复1例

Rina Nurbani, D. R. Helianthi
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引用次数: 0

摘要

贝尔麻痹(BP)是一种由于周围面神经特发性炎症引起的急性单侧面瘫。皮质类固醇、抗病毒药物和物理治疗可有效治疗BP,但这些治疗不能带来完全恢复。针灸可以作为治疗BP的另一种选择,为了显示其有效性,我们报告了一例用针灸治疗BP的患者。一名48岁的女患者,一名幼儿园教师,在诊断出BP后立即接受了皮质类固醇和抗病毒药物治疗。六周后,病人没有康复,House-Brackmann评分为3期。分别在耳朵、身体、面部的局部和远处穴位进行针灸。腕踝针灸(WAA) L1,2;耳穴零点;电针穿刺刺激体表穴位。针刺治疗后,House-Brackmann评分为2级。BP后遗症的医疗选择是有限的。针灸治疗贝尔麻痹的疗效有待进一步的临床研究。关键词:针灸;腕踝针灸;贝尔氏麻痹症;复苏
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Wrist Ankle Acupuncture (WAA) and Body Acupuncture Accelerates Neurorehabilitation in Bell's Palsy: A Case Report
Bell’s Palsy (BP) is an acute unilateral facial paralysis due to idiopathic inflammation of the peripheral facial nerve. Corticosteroids, antiviral drugs, and physical therapy could be useful to treat BP, however these treatments could not bring complete recovery.  Acupuncture could be an alternative option for BP and to show its effectiveness, we present a case report, a patient with BP treated with acupuncture.  A 48-year-old female patient, a kindergarden teacher, already treated with corticosteroid and antiviral agents as soon as BP was diagnosed.  Six weeks later, patient didn’t recover, with House-Brackmann score stage 3.  Acupuncture was perfomed at local and distance acupoints at ears, body and face. Wrist Ankle Acupuncture (WAA) L1,2; ear acupuncture at zero point; and body points were stimulated by electroacu-puncture. After acupuncture therapy, the House-Brackmann score was grade 2.  Medical options for the sequelae of BP are limited. Acupuncture’s effectivity in Bell palsy patients’ should be shown with more clinical studies.   Keywords: Acupuncture; Wrist Ankle Acupuncture; Bell’s Palsy; Recovery
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