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Clinical observation on acupuncture for 200 cases of facial spasm 被引量:1
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作者 王俊富 郭静洁 贾金娟 《World Journal of Acupuncture-Moxibustion》 2013年第4期40-42,48,共4页
Objective To explore the curative effect of acupuncture for facial spasm. Method Acupuncture treatment was adopted in 200 cases of patients with facial spasm, Sīzhúkōng (丝竹空 TE 23), Hég (合谷 LI 4),... Objective To explore the curative effect of acupuncture for facial spasm. Method Acupuncture treatment was adopted in 200 cases of patients with facial spasm, Sīzhúkōng (丝竹空 TE 23), Hég (合谷 LI 4), Tàichōng (太冲 LR 3), Wàiguān (外关 TE 5), Yánglíngquán (阳陵泉 GB 34) and Zhōngzh (中渚 TE 3) were selected. The needles were retained for 30 min, once a day, fifteen days as a treatment course. After 2 courses, the effect was assessed. Result One hundred and twenty-eight cases were cured, accounting for 64.0%; 49 cases had marked efficacy, accounting for 24.5%; 19 cases were improved, accounting for 9.5%; 4 cases were ineffective, accounting for 2.0%. Conclusion Smoothing the liver and activating the qi along with syndrome differentiation produces rapid and ideal curative effect in the acupuncture for facial spasm 展开更多
关键词 facial spasm acupuncture therapy clinical observation
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OBSERVATION ON CLINICAL THERAPEUTIC EFFECTS OF SCALP ACUPUNCTURE FOR FACIAL SPASM 被引量:1
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作者 王顺 蔡玉颖 +1 位作者 尚艳杰 桑鹏 《World Journal of Acupuncture-Moxibustion》 2005年第4期37-39,共3页
Objective; To observe clinical therapeutic effect of scalp acupuncture in the treatment of facial spasm. Methods: Sixty-five cases of facial spasm were randomly divided into control group (n = 31 ) and treatment gr... Objective; To observe clinical therapeutic effect of scalp acupuncture in the treatment of facial spasm. Methods: Sixty-five cases of facial spasm were randomly divided into control group (n = 31 ) and treatment group(n = 34). Patients of the treatment group were treated with penetrative acupuncture from Qienshencong(前神聪 Extra) to Xuanli(悬厘 GB 6), Baihui(百会 GV 20) to Qubin(曲鬓 GB 7), etc., and those of control group treated with acupuncture of Taiyang(太阳 EX-HN 5), Yengbai(阳白 GB 14), Quanliao(颧髎 SI 18) and Xiaguan(下关 ST 7), etc. once daily, 20 sessions altogether. Results. After treatment, of the 31 cases and 34 cases in control and treatment groups, 5 and 12 were cured, 8 and 13 had remarkable improvement, 11 and 8 had improvement, 7 and 1 failed, with the total effective rates being 77.42% and 97.06% respectively; and the therapeutic elfact of treatment group was significantly superior to that of control group(P〈0.01). Conclusion; Scalp acupurcture has an obvious therapeutic effect for facial spasm. 展开更多
关键词 facial spasm Acupuncture therapy Scalp acupuncture
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87 CASES OF FACIAL SPASM TREATED WITH MILD ACUPUNCTURE
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《World Journal of Acupuncture-Moxibustion》 1994年第2期37-15,共2页
Facial spasm is clinically a commonly en-countered and obstinate disease. This diseasewas treated by mild acupuncture with a satisfac-tory therapeutic effect, as summarized in thefollowing.GENERAL DATAThere were 87 ca... Facial spasm is clinically a commonly en-countered and obstinate disease. This diseasewas treated by mild acupuncture with a satisfac-tory therapeutic effect, as summarized in thefollowing.GENERAL DATAThere were 87 cases in total in this series,52 males. and 35 females. The oldest and theyoungest patients were 60 and 28 years old re-spectively. The longest and the shortest 展开更多
关键词 MILD CASES OF facial spasm TREATED WITH MILD ACUPUNCTURE ST
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SHALLOW NEEDLING USED FOR THE TREATMENT OF 35 CASES OF FACIAL SPASM
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作者 孙敬青 张海文 《World Journal of Acupuncture-Moxibustion》 2004年第1期30-32,共3页
In the present paper, the authors sum up results of acupuncture treatment of 35 cases of facial spasm. Of the 35 cases, 14 were male and 21 female, ranging in age from 19 to 62 years and in the disease duration from 1... In the present paper, the authors sum up results of acupuncture treatment of 35 cases of facial spasm. Of the 35 cases, 14 were male and 21 female, ranging in age from 19 to 62 years and in the disease duration from 1 week to 21 years. Shallow needling was applied to the surrounding region of Ahshi points (the twitching locus), Hegu (LI 4), Taichong (LR 3), etc., once daily, 4 weeks altogether. In addition, according to syndrome differentiation, other acupoints as Fengchi (GB 20), Waiguan (TE 5), Zusanli (ST 36), Sanyinjiao (SP 6), etc. were supplemented. After treatment, out of the 35 cases, 26 (74.3%) were cured, 5 (14.3%) experienced markedly improvement, and the rest 4 (11.4%) cases had a certain degree of amelioration. The key point for treating facial spasm is applying shallow needling around the twitching muscles. 展开更多
关键词 facial spasm Shallow needling Ahshi-points
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Influence of distal portion compression of facial nerve in hemifacial spasm surgery
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作者 任杰 《外科研究与新技术》 2011年第3期219-219,共1页
Objective To study influence of distal portion compression of facial nerve in hemifacial spasm surgery. Methods 120 hemifacial spasm patients were undergone lateral spread response monitoring during microvascular deco... Objective To study influence of distal portion compression of facial nerve in hemifacial spasm surgery. Methods 120 hemifacial spasm patients were undergone lateral spread response monitoring during microvascular decompression surgery. 39 patients’LSR remained after decompression of the root exit zone of the facial nerve. 展开更多
关键词 Influence of distal portion compression of facial nerve in hemifacial spasm surgery
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Intermittent facial spasms as the presenting sign of a recurrent pleomorphic adenoma
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作者 Rosalie A Machado Sami P Moubayed +2 位作者 Azita Khorsandi Juan C Hernandez-Prera Mark L Urken 《World Journal of Clinical Oncology》 CAS 2017年第1期86-90,共5页
The intimate anatomical relationship of the facial nerve to the parotid parenchyma has a significant influence on the presenting signs and symptoms, diagnosis and treatment of parotid neoplasms.However, to our knowled... The intimate anatomical relationship of the facial nerve to the parotid parenchyma has a significant influence on the presenting signs and symptoms, diagnosis and treatment of parotid neoplasms.However, to our knowledge, hyperactivity of this nerve, presenting as facial spasm, has never been described as the presenting sign or symptom of a parotid malignancy.We report a case of carcinoma arising in a recurrent pleomorphic adenoma of the left parotid gland(i.e., carcinoma ex pleomorphic adenoma) that presented with hemifacial spasms.We outline the differential diagnosis of hemifacial spasm as well as a proposed pathophysiology.Facial paralysis, lymph node enlargement, skin involvement, and pain have all been associated with parotid malignancies.To date the development of facial spasm has not been reported with parotid malignancies.The most common etiologies for hemifacial spasm are vascular compression of the ipsilateral facial nerve at the cerebellopontine angle(termed primary or idiopathic)(62%), hereditary(2%), secondary to Bell's palsy or facial nerve injury(17%), and hemifacial spasm mimickers(psychogenic, tics, dystonia, myoclonus, myokymia, myorthythmia, and hemimasticatory spasm)(17%).Hemifacial spasm has not been reported in association with a malignant parotid tumor but must be considered in the differential diagnosis of this presenting symptom. 展开更多
关键词 facial spasm PLEOMORPHIC adenoma Benign mixed PAROTID tumor RECONSTRUCTIVE surgery Salivary glands
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Analysis of Rapid Rehabilitation Surgical Care in the Perioperative Period of Facial Spasm
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作者 LIJialin 《外文科技期刊数据库(文摘版)医药卫生》 2022年第2期034-037,共4页
Objective: by comparing the two groups of perioperative patients under the nerve function, nursing quality score, clinical indicators, bad psychological mood, nursing satisfaction, complications, comfort score, qualit... Objective: by comparing the two groups of perioperative patients under the nerve function, nursing quality score, clinical indicators, bad psychological mood, nursing satisfaction, complications, comfort score, quality of life score application effect, expounds the advantages and disadvantages of rapid rehabilitation surgery nursing and routine rehabilitation surgery nursing methods. Methods: randomized group, observation group applied rapid rehabilitation surgical care during facial muscle spasm, and control group applied routine rehabilitation surgical care during the perioperative period of facial muscle spasm.Results: the two groups of patients with rapid rehabilitation surgery and routine rehabilitation surgery and grade I, grade, grade V), nursing quality scores, clinical indicators, adverse psychological mood, nursing satisfaction, complications, comfort scores, and quality of life scores (P <0.05).Conclusion: rapid rehabilitation surgery nursing muscle spasm perioperative patients' facial nerve function, nursing quality score, clinical indicators, bad psychological mood scores, nursing satisfaction, complications, comfort score, quality of life, so rapid rehabilitation surgery in facial spasm perioperative can be large-scale clinical promotion. 展开更多
关键词 rapid rehabilitation surgical care facial muscle spasm perioperative period clinical application effect
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Treatment of 53 Cases of Facial Spasm with Acupuncture 被引量:10
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作者 王立新 朱函亭 《Journal of Acupuncture and Tuina Science》 2009年第4期233-234,共2页
Fifty-three patients with facial spasm were treated by acupuncture therapy. Taichong (LR 3), Fengchi (GB 20), Yifeng (TE 17), and Sanyinjiao (SP 6) were selected as main points, and others points were selected... Fifty-three patients with facial spasm were treated by acupuncture therapy. Taichong (LR 3), Fengchi (GB 20), Yifeng (TE 17), and Sanyinjiao (SP 6) were selected as main points, and others points were selected based on symptom. Of the 53 cases, 9 cases were cured, 13 cases were markedly effective, 27 cases were effective, and 4 cases were ineffective, with an effective rate of 92.5%. 展开更多
关键词 facial spasm Acupuncture Therapy Syndrome Differentiation and Trealanent
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Therapeutic observation of superficial needling for hemifacial spasm 被引量:2
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作者 温木生 洪珏 《Journal of Acupuncture and Tuina Science》 CSCD 2015年第4期265-268,共4页
Objective: To observe the therapeutic efficacy of superficial needling in treating hemifacial spasm. Methods: Eighty patients with facial spasm were randomized into two groups by the random number table, 40 cases in... Objective: To observe the therapeutic efficacy of superficial needling in treating hemifacial spasm. Methods: Eighty patients with facial spasm were randomized into two groups by the random number table, 40 cases in each group. The observation group was intervened by superficial needling at local Ashi points and wrist-ankle acupuncture at the Upper 1, Upper 2 and Upper 3 points; while the control group was by ordinary acupuncture. For both groups, the treatment was given once a day, 7 times as a treatment course, and the therapeutic efficacy was evaluated after 3 courses. Results: The total effective rate and recovery rate were respectively 97.5% and 57.5% in the observation group versus 85.0% and 37.5% in the control group, and the differences were statistically significant (P〈0.05). Conclusion: Superficial needling can produce a more significant efficacy in treating hemifacial spasm than ordinary acupuncture. 展开更多
关键词 Acupuncture Therapy Wrist-ankle Acupuncture Superficial Needling Point Ashi facial spasm
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3D-Slicer三维重建联合神经电生理监测在原发性面肌痉挛MVD中的应用及对患者预后的影响
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作者 赵建凯 陈志强 +5 位作者 张翡 张颜礼 贾宝铭 王双豹 闫建敏 冯国强 《中南医学科学杂志》 2026年第1期126-129,共4页
目的探讨3D-Slicer三维重建联合神经电生理监测在原发性面肌痉挛(pHFS)微血管减压术(MVD)中的应用及对患者预后的影响。方法选择原发性面肌痉挛患者122例,根据不同治疗方案将其分为对照组(接受显微镜下MVD)和观察组(接受3D-Slicer三维... 目的探讨3D-Slicer三维重建联合神经电生理监测在原发性面肌痉挛(pHFS)微血管减压术(MVD)中的应用及对患者预后的影响。方法选择原发性面肌痉挛患者122例,根据不同治疗方案将其分为对照组(接受显微镜下MVD)和观察组(接受3D-Slicer三维重建联合神经电生理监测下MVD),每组各61例。比较两组患者的临床疗效、围术期指标、面肌痉挛分级、面部神经传导速度、并发症发生率及HFS复发率。结果观察组临床疗效总有效率高于对照组(P<0.05)。观察组术程时长和住院时长均短于对照组,术中出血量少于对照组(P<0.05)。术后6个月,两组患者面肌痉挛分级水平均较术前下降,且观察组低于对照组(P<0.05)。术后2周,两组患侧面神经传导速度均较术前增加,且观察组高于对照组(P<0.05)。观察组并发症发生率和复发率均低于对照组(P<0.05)。结论3D-Slicer三维重建联合神经电生理监测应用于pHFS MVD中,能有效缩短手术时间和住院时长,减少术中出血量,缓解面肌痉挛症状,提高面部神经传导速度,降低并发症发生率和HFS复发率。 展开更多
关键词 3D-Slicer 神经电生理监测 面肌痉挛 微血管减压术 预后
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CT引导下面神经射频热凝治疗面肌痉挛的疗效分析
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作者 闫如虎 丁以锟 +1 位作者 陈鹏举 卢庆威 《介入放射学杂志》 北大核心 2025年第12期1360-1363,共4页
目的探讨CT引导下面神经射频热凝治疗面肌痉挛(HFS)的临床应用价值。方法收集2017年7月至2024年6月在安徽中医药大学第一附属医院介入与疼痛科住院行面神经射频热凝治疗的24例HFS患者,分别在术前和术后1 d、1周、1个月、3个月采用HFS评... 目的探讨CT引导下面神经射频热凝治疗面肌痉挛(HFS)的临床应用价值。方法收集2017年7月至2024年6月在安徽中医药大学第一附属医院介入与疼痛科住院行面神经射频热凝治疗的24例HFS患者,分别在术前和术后1 d、1周、1个月、3个月采用HFS评分评价治疗效果,术后1 d采用面瘫评分评价面瘫程度。结果本组术中均成功诱发面神经运动刺激症状,运动刺激诱发面肌跳动的最小电压为(0.38±0.12)V,最终射频温度为(59.04±7.00)℃。术前和术后1 d、1周及1、3个月HFS评分为6.83±1.09、0.71±0.75、0.50±0.72、0.38±1.06、0.38±1.28。术后1 d、1周、1个月、3个月HFS评分与术前相比,HFS评分明显下降,有差异有统计学意义(P<0.05),痉挛症状明显改善。术后1 d的面瘫评分(2.67±1.13)分。术后24例患者均出现轻度面瘫症状。结论CT引导下面神经射频热凝治疗HFS,能有效缓解HFS患者痉挛症状,是治疗HFS有效手段,面瘫并发症轻,可自行恢复,临床上可向患者推荐应用。 展开更多
关键词 面神经 射频 面肌痉挛
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异常肌反应与Z-L反应联合监测在面肌痉挛锁孔入路微血管减压术中的应用
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作者 余聚 关炎 许亮 《中国现代神经疾病杂志》 北大核心 2025年第4期317-322,共6页
目的 对比分析异常肌反应监测联合Z-L反应监测与单纯异常肌反应监测在面肌痉挛锁孔入路微血管减压术中的应用价值。方法 纳入2014年1月至2024年4月在苏州大学附属第二医院行乳突后锁孔入路微血管减压术的258例原发性面肌痉挛患者,分别... 目的 对比分析异常肌反应监测联合Z-L反应监测与单纯异常肌反应监测在面肌痉挛锁孔入路微血管减压术中的应用价值。方法 纳入2014年1月至2024年4月在苏州大学附属第二医院行乳突后锁孔入路微血管减压术的258例原发性面肌痉挛患者,分别行异常肌反应监测(AMR组,102例)和异常肌反应监测联合Z-L反应监测(AMR+ZLR组,156例),计算手术有效率,记录术后并发症。结果 AMR+ZLR组术后7 d 145例痊愈、11例无效,手术有效率为92.95%(145/156);术后6个月151例痊愈、5例无效,手术有效率为96.79%(151/156)。AMR组术后7 d 86例痊愈、16例无效,手术有效率为84.31%(86/102);术后6个月92例痊愈、10例无效(其中2例为复发),手术有效率为90.20%(92/102)。AMR+ZLR组术后7 d(χ^(2)=4.908,P=0.027)和6个月(χ^(2)=4.904,P=0.027)手术疗效均优于AMR组。术后1 d,AMR+ZLR组有12例出现轻微面瘫,于术后7 d内恢复;AMR组有1例出现耳鸣、1例出现头晕,均于术后3 d内恢复,18例出现轻微面瘫,于术后7 d内恢复。结论 微血管减压术是治疗面肌痉挛的有效手段,手术有效率较高,术中异常肌反应监测联合Z-L反应监测较单纯异常肌反应监测可以提供更有价值的电生理指导。 展开更多
关键词 痉挛 面部肌肉 微血管减压术 神经电生理监测 监测 手术中
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基于“风胜则动-久病入络”探讨坠刺法联合刺络放血治疗原发性面肌痉挛 被引量:1
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作者 黄鸿鹏 柯曼姗 +2 位作者 沈扬艺 曾红文 刘悦 《中国医药导报》 2025年第23期114-118,共5页
面肌痉挛是一种顽固且易复发的疾病,以单侧面部肌肉出现阵发性、不自主抽搐为主要临床表现。中医认为该病属于面部经筋病变,主要病机为“风胜则动、久病入络”,包括外感风邪和内生风动,且该病迁延难愈,久病入络,常兼夹瘀血等病理因素。... 面肌痉挛是一种顽固且易复发的疾病,以单侧面部肌肉出现阵发性、不自主抽搐为主要临床表现。中医认为该病属于面部经筋病变,主要病机为“风胜则动、久病入络”,包括外感风邪和内生风动,且该病迁延难愈,久病入络,常兼夹瘀血等病理因素。针对该病机特点,本文提出坠刺法联合刺络放血治疗原发性面肌痉挛,坠刺法通过刺激攒竹、阳白、四白、丝竹空、迎香等穴位,可疏调经气、息风止痉;刺络放血通过点刺内颊车,可破血逐瘀、通络解痉,两者协同,既能祛风治标,又可化瘀治本,契合“急则治标,缓则治本”的原则。该疗法可显著降低患者痉挛频率与强度,且复发率较低。本文从理论研究与临床案例探讨坠刺法联合刺络放血治疗原发性面肌痉挛的价值,以期为该病治疗提供新思路。 展开更多
关键词 原发性面肌痉挛 “风胜则动” “久病入络” 坠刺法 刺络放血
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MRI 3D-FIESTA联合面血管压迫程度对原发性面肌痉挛患者微血管减压术后面部麻木的评估价值 被引量:1
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作者 杨莉月 金雨洁 +2 位作者 陆泽华 杨晓亮 耿承军 《生物医学工程与临床》 2025年第4期517-523,共7页
目的 分析磁共振三维稳态采集快速成像(3D-FIESTA)序列联合面血管压迫程度对原发性面肌痉挛(HFS)患者微血管减压术(MVD)后面部麻木的评估价值。方法 选择中国人民解放军联勤保障部队第九〇四医院2021年4月至2024年2月收治的92例行MVD治... 目的 分析磁共振三维稳态采集快速成像(3D-FIESTA)序列联合面血管压迫程度对原发性面肌痉挛(HFS)患者微血管减压术(MVD)后面部麻木的评估价值。方法 选择中国人民解放军联勤保障部队第九〇四医院2021年4月至2024年2月收治的92例行MVD治疗的原发性HFS患者,其中男性44例,女性48例;年龄19~70岁,平均年龄44.52岁;病程1~6年,平均病程3.52年;Cohen分级Ⅰ~Ⅱ级62例,Ⅲ~Ⅴ级30例。于MVD术前采取3D-FIESTA检查。MVD术后2周采用巴罗神经病学研究所(BNI)分级评估面部麻木发生情况,根据BNI分级将其分为发生面部麻木组和未发生组,比较两组患者临床资料,分析影响原发性HFS患者MVD术后发生面部麻木的因素及受试者工作特性(ROC)曲线分析原发性HFS患者MVD术后发生面部麻木的价值。结果 92例原发性HFS患者中,有25例(27.17%)患者MVD术后发生面部麻木。发生组与未发生组Cohen分级、血管压迫程度、神经压迫、责任血管状况比较,差异有统计学意义(P<0.05)。经多因素Logistic回归分析,Cohen分级为Ⅲ~Ⅴ级[比值比(OR)=5.200,95%可信区间(CI)1.942~13.925]、血管压迫程度为复合血管压迫(OR=5.674,95%CI 1.996~16.131)、神经压迫为明显压痕(OR=4.655,95%CI 1.736~12.480)、责任血管状况发出穿支血管包绕神经出髓区(OR=5.287,95%CI 1.954~14.301)是原发性HFS患者MVD术后发生面部麻木的影响因素(P<0.05)。列线图模型经Bootstrap法内部验证,结果显示C-index为0.782(95%CI 0.670~0.894),区分度良好;绘制Calibration曲线,结果显示校正曲线与理想曲线拟合度较好(χ^(2)=1.201,P=0.263)。以原发性HFS患者MVD术后发生面部麻木情况为因变量,以风险总分为自变量,ROC曲线结果显示,预测原发性HFS患者MVD术后发生面部麻木的灵敏度为83.30%(95%CI 0.721~0.945),特异度为92.30%(95%CI 0.811~1.000),曲线下面积为0.878(95%CI 0.783~0.973)。结论 磁共振3D-FIESTA联合面血管压迫程度评估原发性HFS患者MVD术后发生面部麻木的价值较高。 展开更多
关键词 磁共振3D-FIESTA 面血管压迫程度 原发性面肌痉挛 微血管减压术 面部麻木
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陈婕基于整合针灸思维论治面瘫后面肌痉挛经验介绍 被引量:2
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作者 吴玉敏 黄家欣 陈婕(指导) 《新中医》 2025年第1期148-151,共4页
总结介绍陈婕主任基于符文彬教授整合针灸思维治疗面瘫后面肌痉挛的临床经验。陈婕主任指出面瘫后面肌痉挛属于中医经筋病范畴,其发生与正气不足、气血瘀滞、肝风内动及筋结既成有关,基于整合针灸思维以一松二温三灸方式治疗,针刀松解... 总结介绍陈婕主任基于符文彬教授整合针灸思维治疗面瘫后面肌痉挛的临床经验。陈婕主任指出面瘫后面肌痉挛属于中医经筋病范畴,其发生与正气不足、气血瘀滞、肝风内动及筋结既成有关,基于整合针灸思维以一松二温三灸方式治疗,针刀松解面部、颈部筋结点,配合温针、热敏灸阳明经、太阳经腧穴,以激发经气感传,使气至病所,发挥治疗作用。 展开更多
关键词 面瘫后面肌痉挛 整合针灸 针刀 温针 热敏灸
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异常肌反应与脑干听觉诱发电位联合监测下神经内镜辅助显微血管减压术治疗偏侧面肌痉挛的临床效果
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作者 张召 卢熊伟 《中国内镜杂志》 2025年第8期68-77,共10页
目的探讨异常肌反应(AMR)与脑干听觉诱发电位(BAEP)联合监测下神经内镜辅助显微血管减压术(MVD)治疗偏侧面肌痉挛(HFS)的效果及其对血清髓鞘碱性蛋白(MBP)和神经元特异性烯醇化酶(NSE)的影响。方法前瞻性选取2019年1月-2023年12月该院... 目的探讨异常肌反应(AMR)与脑干听觉诱发电位(BAEP)联合监测下神经内镜辅助显微血管减压术(MVD)治疗偏侧面肌痉挛(HFS)的效果及其对血清髓鞘碱性蛋白(MBP)和神经元特异性烯醇化酶(NSE)的影响。方法前瞻性选取2019年1月-2023年12月该院收治的HFS患者110例,采用随机数表法分为对照组(n=55)和研究组(n=55)。对照组采取神经内镜辅助MVD治疗,研究组采取AMR与BAEP联合监测下神经内镜MVD治疗。比较两组患者治疗效果、手术前后血清MBP和NSE水平、面神经功能分级、面神经电生理参数(复合肌肉动作电位、瞬目反射波幅R1、R2和R2')、生活质量[偏侧面肌痉挛评分量表(HFS-8)评分]和睡眠质量[匹茨堡睡眠质量指数(PSQI)评分],以及并发症发生率。结果研究组总有效率为94.55%(52/55),明显高于对照组的80.00%(44/55),差异有统计学意义(P<0.05);术后1和3 d,研究组血清MBP和NSE水平明显低于对照组,差异均有统计学意义(P<0.05);术后6个月,研究组面神经功能分级明显优于对照组,瞬目反射波幅R1、R2和R2'明显低于对照组,复合肌肉动作电位明显高于对照组,差异均有统计学意义(P<0.05);术后6个月,研究组HFS-8评分和PSQI评分明显低于对照组,差异均有统计学意义(P<0.05);两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论AMR与BAEP联合监测下神经内镜辅助MVD治疗HFS的效果显著,能改善神经功能,提高睡眠质量和生活质量,且有较高的安全性。 展开更多
关键词 偏侧面肌痉挛(HFS) 显微血管减压术(MVD) 神经内镜 面神经功能分级 电生理参数 生活质量 睡眠质量 并发症
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三种不同显微血管减压技术治疗面肌痉挛患者的疗效比较
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作者 罗飞 姜海莉 +1 位作者 杨呈浩 张明辉 《神经损伤与功能重建》 2025年第7期383-388,共6页
目的:分析三种不同显微血管减压(microvascular decompression,MVD)技术治疗面肌痉挛(hemifacial spasm,HFS)患者的效果与安全性。方法:114例HFS患者,随机分为全程减压组、中枢减压组和监测减压组各38例。3组均行MVD,全程减压组术中行... 目的:分析三种不同显微血管减压(microvascular decompression,MVD)技术治疗面肌痉挛(hemifacial spasm,HFS)患者的效果与安全性。方法:114例HFS患者,随机分为全程减压组、中枢减压组和监测减压组各38例。3组均行MVD,全程减压组术中行面神经全程减压,中枢减压组术中行面神经中枢段减压,监测减压组术中于神经电生理监测下行面神经中枢段减压。比较3组治疗效果、手术相关指标、手术前后面部痉挛程度、面神经功能[House-Brackmann(H-B)分级、sunnybrook面神经评估系统(SFGS)]、听神经功能[潜伏期、波间期、波幅脑干听觉诱发电位(BAEP)]、并发症发生率及复发率。结果:监测减压组、中枢减压组总有效率高于全程减压组(P<0.05);监测减压组手术时间、术中出血量、住院时间<中枢减压组<全程减压组(P<0.05);术后3个月、12个月监测减压组面部痉挛程度优于中枢减压组、全程减压组(P<0.05);监测减压组术后3个月、12个月面神经功能H-B分级<中枢减压组<全程减压组,SFGS评分>中枢减压组>全程减压组(P<0.05);监测减压组术后3个月、12个月BAEP潜伏期、波间期、波幅>中枢减压组>全程减压组(P<0.05);监测减压组、中枢减压组并发症发生率低于全程减压组(P<0.05);3组复发率差异无统计学意义(P>0.05)。结论:MVD治疗HFS的过程中进行面神经中枢段减压,能优化手术流程,促进病情恢复,增强临床效果,改善患者预后,尤其是在神经电生理监测下进行减压效果更加显著。 展开更多
关键词 面肌痉挛 显微血管减压术 面神经功能 治疗效果 听神经功能 复发
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快速康复外科护理在面肌痉挛患者围手术期的应用及对术后康复的影响
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作者 李红艳 孙秀秀 +2 位作者 郝林萍 贾建华 杨翻翻 《中西医结合护理(中英文)》 2025年第2期225-228,共4页
目的探析快速康复外科护理在面肌痉挛患者围手术期的应用价值和临床意义。方法回顾分析山东大学齐鲁医院2020年1月至2022年12月收治的150例接受面神经微血管减压术治疗面肌痉挛患者的临床资料,其中实施常规护理的76例患者入对照组,实施... 目的探析快速康复外科护理在面肌痉挛患者围手术期的应用价值和临床意义。方法回顾分析山东大学齐鲁医院2020年1月至2022年12月收治的150例接受面神经微血管减压术治疗面肌痉挛患者的临床资料,其中实施常规护理的76例患者入对照组,实施快速康复外科护理的74例患者入观察组,比较2组的术后并发症发生率、症状分级及恢复情况。结果观察组干预及随访期间发生舌咽神经功能受损、听力受损、脑脊液漏及低颅压综合征的总发生率为1.35%,较对照组的9.22%更低(P<0.05)。术后即刻和出院时,观察组症状分级为0级的比例分别为86.49%、93.25%,均高于对照组的72.37%和81.58%(P均<0.05)。观察组面部痉挛完全消失时间和住院治疗时间分别早于或短于对照组,复发率低于对照组(P均<0.05)。结论在面肌痉挛患者围手术期中应用快速康复外科护理,对术后并发症控制、症状分级改善以及临床症状恢复等均可产生积极影响。 展开更多
关键词 面肌痉挛 面神经微血管减压术 快速康复外科护理 并发症
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何常春教授动静结合针刺法治疗面肌痉挛临证经验
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作者 张紫芳 何常春 《中国民族民间医药》 2025年第22期97-100,共4页
面肌痉挛为临床常见的神经功能障碍性疾病,属中医“风证”“痉证”“眼睑瞤动”等范畴。何常春教授从医数十载,深入研究本病发病机理,认为本病多因外风内风交织、肝脾肾亏虚与风痰瘀互结所致。临床以动静结合针刺法为治疗核心,通过动法... 面肌痉挛为临床常见的神经功能障碍性疾病,属中医“风证”“痉证”“眼睑瞤动”等范畴。何常春教授从医数十载,深入研究本病发病机理,认为本病多因外风内风交织、肝脾肾亏虚与风痰瘀互结所致。临床以动静结合针刺法为治疗核心,通过动法疏通经络、祛邪止痉,静法培补气血、调节脏腑,标本同治。文章总结何常春教授运用动静结合针刺法治疗面肌痉挛的理论基础、操作方法及临床经验,并选取典型病案一则进行分析,以期为临床治疗提供新的思路和参考。 展开更多
关键词 面肌痉挛 动静结合针刺法 名医经验
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原发性面肌痉挛患者微血管减压术术后听神经损伤的影响因素及预测价值
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作者 张翡 赵建凯 +5 位作者 陈志强 贾宝铭 张颜礼 王双豹 闫建敏 冯国强 《临床和实验医学杂志》 2025年第21期2263-2267,共5页
目的探讨原发性面肌痉挛(pHFS)患者微血管减压术(MVD)术后听神经损伤的影响因素及各因素的预测价值。方法回顾性选取邢台市中心医院2021年6月至2023年6月收治的行MVD的pHFS患者106例作为研究对象。根据其术后是否合并听神经损伤将其分... 目的探讨原发性面肌痉挛(pHFS)患者微血管减压术(MVD)术后听神经损伤的影响因素及各因素的预测价值。方法回顾性选取邢台市中心医院2021年6月至2023年6月收治的行MVD的pHFS患者106例作为研究对象。根据其术后是否合并听神经损伤将其分为听神经损伤组(n=12)、无听神经损伤组(n=94)。收集并比较两组临床资料,将差异项代入共线性分析、多因素Logistic回归分析,据此绘制列线图、受试者操作特征(ROC)曲线,建立预测模型,以校准曲线内部验证。结果听神经损伤组骨窗前缘距颞骨岩部内侧面距离、小脑牵拉深度、硬膜下出血量分别为(2.65±0.41)cm、(82.34±12.68)mm、(37.52±2.16)mL,均高于无听神经损伤组[(2.42±0.33)cm、(73.98±13.01)mm、(36.03±2.22)mL],术中乳突开放占比、应用3D-Slicer三维重建联合术中神经电生理监测占比分别为41.67%、25.00%,均低于无听神经损伤组(75.53%、57.45%),手术时间为(2.63±0.23)h,长于无听神经损伤组[(2.45±0.27)h],差异均有统计学意义(P<0.05)。上述差异项均无共线性关系(VIF≤10,容忍度≥0.1)。多因素Logistic回归分析结果显示,骨窗前缘距颞骨岩部内侧面距离、小脑牵拉深度、硬膜下出血量、手术时间均为pHFS患者MVD后并发听神经损伤的危险因素(OR=8.045、1.049、1.380、12.561,P<0.05),术中乳突开放、应用3D-Slicer三维重建联合术中神经电生理监测均为其并发听神经损伤的保护因素(OR=0.231、0.247,P<0.05)。据此绘制列线图模型、ROC曲线,结果显示上述危险因素均对pHFS患者MVD后并发听神经损伤具有预测价值,且ROC曲线下面积为0.855(95%CI:0.716~0.993),且对列线图预测模型拟合效度良好(χ^(2)=10.345,P=0.242),校准曲线略呈线性。结论骨窗前缘距颞骨岩部内侧面距离、小脑牵拉深度、硬膜下出血量、手术时间均为pHFS患者MVD后并发听神经损伤的危险因素,术中乳突开放占比、应用3D-Slicer三维重建联合术中神经电生理监测占比均为其并发听神经损伤的保护因素,且上述因素对MVD后并发听神经损伤具有预测意义。 展开更多
关键词 痉挛 3D-Slicer三维重建 神经电生理监测 原发性面肌痉挛 微血管减压术 听神经损伤 预测
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