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肌内效贴配合局部理疗治疗Bell麻痹的疗效观察
引用本文:马艳,李进华,乔娜,孙瑞.肌内效贴配合局部理疗治疗Bell麻痹的疗效观察[J].中国康复,2016,31(4):264-266.
作者姓名:马艳  李进华  乔娜  孙瑞
作者单位:武汉市第一医院康复医学科
摘    要:目的:观察肌内效贴疗法联合物理因子治疗Bell麻痹的疗效。方法:Bell麻痹患者72例随机分为观察组及对照组各36例,2组均采用超短波及超声波等物理因子治疗,观察组在此基础上加用肌内效贴扎术治疗。治疗前后运用简易面神经功能评分法、瞬目反射及面神经传导进行疗效评价。结果:治疗1个月后,2组简易面神经功能评分均较治疗前明显提高(P0.01),且观察组更高于对照组(P0.01);观察组平均治愈时间较对照组明显缩短(P0.01);2组患侧瞬目反射R1,R2潜伏时均较治疗前明显缩短(P0.05),且观察组更优于对照组(P0.05);2组患侧面神经传导速度均较治疗前明显提高(P0.01),且观察组更优于对照组(P0.05)。结论 :肌内效贴疗法联合物理因子治疗Bell麻痹可增加疗效,加速面神经恢复,缩短治愈时间,适宜临床推广应用。

关 键 词:Bell麻痹  物理因子  肌内效贴

Efficacy of Kinesio Taping combined with local physical therapy for Bell palsy
Institution:Ma Yan;Li Jinhua;Qiao Na;Department of Rehabilitation Medicine,Wuhan First Hospital;
Abstract:Objective: To study the efficacy of Kinesio Taping (KT) combined with local physical therapy in the treatment of Bell palsy. Method: Seventy two patients with Bell palsy were treated in our hospital from May 2014 to May 2015, and randomly divided into observation group (36 cases) and control group (36 cases). The control group was treated by local physical therapy alone, and the observation group was subjected to local physical therapy and KT. Before and after treatment, the simple test of facial nerve function, blink reflex and nerve conduction velocity were used to evaluate the treatment efficacy. Result: After treatment for 4 weeks, facial nerve function scores in both two groups were obviously increased (P<0.01) as compared with those before treatment, more significantly in the observation group (P<0.01); the average cure time in the observation group was markedly shortened as compared with the control group (P<0.01); the latency of blink reflex R1 and R2 in both groups after treatment was notably shortened on the affected side as compared with that before treatment (P<0.05), more significantly in the observation group (P<0.05); the nerve conduction velocity in both two groups after treatment on the affected side was increased as compared with that before treatment (P<0.05), more significantly in the observation group (P<0.01). Conclusion: KT combined with local physical therapy can significantly improve the efficacy of Bell palsy patients, speed up the facial nerve recovery, and shorten the cure time.
Keywords:Bell palsy  local physical therapy  Kinesio Taping
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