期刊文献+
共找到327篇文章
< 1 2 17 >
每页显示 20 50 100
Clinical observation on acupuncture for 200 cases of facial spasm 被引量:1
1
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
原文传递
OBSERVATION ON CLINICAL THERAPEUTIC EFFECTS OF SCALP ACUPUNCTURE FOR FACIAL SPASM 被引量:1
2
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
暂未订购
87 CASES OF FACIAL SPASM TREATED WITH MILD ACUPUNCTURE
3
《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
暂未订购
SHALLOW NEEDLING USED FOR THE TREATMENT OF 35 CASES OF FACIAL SPASM
4
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
暂未订购
Influence of distal portion compression of facial nerve in hemifacial spasm surgery
5
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
暂未订购
Intermittent facial spasms as the presenting sign of a recurrent pleomorphic adenoma
6
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
暂未订购
Analysis of Rapid Rehabilitation Surgical Care in the Perioperative Period of Facial Spasm
7
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
暂未订购
Treatment of 53 Cases of Facial Spasm with Acupuncture 被引量:10
8
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
原文传递
Therapeutic observation of superficial needling for hemifacial spasm 被引量:2
9
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
原文传递
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
10
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
暂未订购
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
11
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
暂未订购
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:1
12
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
原文传递
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
13
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
暂未订购
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
14
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
原文传递
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
15
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
暂未订购
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
16
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
暂未订购
基于3D Slicer的多模态影像融合技术及神经电生理监测在面肌痉挛微血管减压术中的应用 被引量:3
17
作者 刘文浩 叶敏 +2 位作者 张文波 梁明礼 范伟雄 《中国实用神经疾病杂志》 2024年第8期1033-1036,共4页
目的探讨基于3D Slicer的多模态影像融合技术及神经电生理监测在面肌痉挛微血管减压术中的应用价值。方法采用回顾性分析法,选取41例行血管减压术的面肌痉挛患者为研究对象。术前通过3D Slicer软件对责任血管进行多模态影像融合分析,确... 目的探讨基于3D Slicer的多模态影像融合技术及神经电生理监测在面肌痉挛微血管减压术中的应用价值。方法采用回顾性分析法,选取41例行血管减压术的面肌痉挛患者为研究对象。术前通过3D Slicer软件对责任血管进行多模态影像融合分析,确定手术方案,术中进行神经电生理监测以判断减压。观察手术效果并追踪术后复发情况。结果术前建模图像发现40例存在微血管压迫,1例未见微血管压迫。未见微血管压迫的1例经术中证实为岩静脉压迫,1例小脑前下动脉经术中证实为小脑上动脉,其余责任血管判定均与术中所见一致。术前建模图像的责任血管判定正确39例,正确率为95%。41例患者经手术治疗后症状均完全缓解,完全缓解率为100%。术后住院期间1例发生面瘫,1例发生听力下降,经对症处理后很快缓解,术后随访3~36个月无复发。结论在面肌痉挛微血管减压术中联合应用多模态影像融合技术可直观了解责任血管及周围重要结构解剖情况,配合神经电生理监测可避免术中减压过度或不充分的情况,两项技术的联合应用可有效提高手术疗效。 展开更多
关键词 微血管减压术 多模态影像融合 神经电生理监测 面肌痉挛 责任血管 磁共振成像
暂未订购
面肌痉挛显微血管减压术治疗分析
18
作者 申彦杰 程东亮 +2 位作者 成文平 任瑞明 张坤 《中国临床神经外科杂志》 2024年第9期537-540,共4页
目的探讨显微血管减压术治疗面肌痉挛的手术方法及其临床疗效。方法回顾性分析2018年1月至2022年7月显微血管减压术治疗的187例面肌痉挛的临床资料。结果术中发现责任血管的构成:小脑前下动脉81例(43.3%),小脑后下动脉39例(20.9%),多根... 目的探讨显微血管减压术治疗面肌痉挛的手术方法及其临床疗效。方法回顾性分析2018年1月至2022年7月显微血管减压术治疗的187例面肌痉挛的临床资料。结果术中发现责任血管的构成:小脑前下动脉81例(43.3%),小脑后下动脉39例(20.9%),多根血管同时压迫67例(35.8%)。178例(95.2%)术后即刻症状完全消失,9例(4.8%)术后2周至3个月逐步消失。3例术后出现耳鸣,1个月后逐步恢复;1例出现听力丧失,未恢复;8例出现轻度面瘫,应用神经营养药物及结合局部针灸、高压氧治疗恢复;3例出现中度发热,静脉应用地塞米松3~5 d体温恢复正常;1例出现伤口脑脊液漏,经局部加压包扎等保守治疗愈合。术后无颅内感染、脑内出血等并发症,无手术死亡。结论显微血管减压术是治疗面肌痉挛的一种技术成熟的手术方法,术中熟练的显微外科操作,分清责任血管,做好术中监测,避免过分牵拉,是提高治愈率、减少并发症的关键。 展开更多
关键词 面肌痉挛 显微血管减压术 疗效
暂未订购
面肌痉挛微血管减压术前基于3D Slicer三维重建技术的可视化研究 被引量:3
19
作者 李保华 周忠海 +1 位作者 孟凡刚 张树新 《中国现代神经疾病杂志》 CAS 北大核心 2024年第10期834-839,共6页
目的对比术前3D Slicer三维重建技术判断面肌痉挛责任血管与微血管减压术中实际所见的一致性。方法纳入2018年7月至2024年1月在山东省东阿县人民医院行微血管减压术的62例面肌痉挛患者,术前均行三维稳态进动快速成像(3D-FIESTA)和三维... 目的对比术前3D Slicer三维重建技术判断面肌痉挛责任血管与微血管减压术中实际所见的一致性。方法纳入2018年7月至2024年1月在山东省东阿县人民医院行微血管减压术的62例面肌痉挛患者,术前均行三维稳态进动快速成像(3D-FIESTA)和三维时间飞跃(3D-TOF)MRA检查,通过3D Slicer软件将3D-FIESTA和3D-TOF MRA图像配准并进行三维重建以明确责任血管,以术中实际所见为“金标准”,对比术前三维重建与术中实际所见的一致性。结果共62例患者中61例经术前三维重建明确责任血管,分别为小脑前下动脉47例、小脑后下动脉6例、椎动脉5例、椎动脉联合小脑前下动脉2例、小脑上动脉1例;59例与术中实际所见责任血管一致,1例术前三维重建考虑为椎动脉压迫,术中证实为椎动脉联合小脑前下动脉压迫,1例术前三维重建考虑为小脑前下动脉压迫,术中证实为小脑前下动脉联合迷路动脉压迫,1例未发现明显责任血管,术中证实为小动脉压迫。术前三维重建判断责任血管的准确率为95.16%(59/62),经一致性检验,与术中实际所见的一致性较高(κ=0.886,P=0.000)。结论面肌痉挛患者微血管减压术前通过三维重建技术明确责任血管具有很高的准确性,有助于制定手术方案,为术中责任血管的判断提供依据。 展开更多
关键词 痉挛 面部肌肉 微血管减压术 磁共振成像
暂未订购
陈以国教授针刺治疗面肌痉挛经验 被引量:4
20
作者 姚春同 成泽东 《亚太传统医药》 2024年第1期134-137,共4页
面肌痉挛迁延难愈,大幅降低了患者的生存质量。陈以国教授从事临床、科研、教育工作数十年,临床经验丰富,治疗面肌痉挛疗效显著。陈教授认为面肌痉挛是本虚标实之证,以肝阴不足、肝气失疏而致肝亢失制为本,经筋失濡为标。肝亢失制,风气... 面肌痉挛迁延难愈,大幅降低了患者的生存质量。陈以国教授从事临床、科研、教育工作数十年,临床经验丰富,治疗面肌痉挛疗效显著。陈教授认为面肌痉挛是本虚标实之证,以肝阴不足、肝气失疏而致肝亢失制为本,经筋失濡为标。肝亢失制,风气外现贯穿该病始终,整体表现为面肌异常之“动”。“肝木偏亢,经筋失养”为其病机关键。治疗当遵滋肝阴疏肝气、肺金承制肝木、熄风动濡经筋。故陈教授基于《内经》独创“陈氏吊针”,结合基于圆运动独创的“腹三针”,明辨病机,谨遵辨证以论治,借助共同作用调动肺脏、恢复肝脏和经筋的生理功能治疗该病。附验案一则,以资佐证。 展开更多
关键词 面肌痉挛 针刺治疗 陈以国 陈氏吊针 圆运动 名医经验
原文传递
上一页 1 2 17 下一页 到第
使用帮助 返回顶部