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1、中国康复医学杂志，2009年，第24卷，第6期543·临床研究·面肌运动训练对特发性面神经麻痹功能恢复的影响1111马跃文董继超杜宝琮马庆平摘要目的：探讨面肌运动训练对特发性面神经麻痹功能恢复的促进作用。方法：将138例特发性面神经麻痹患者随机分为综合康复治疗组48例，物理治疗组40例，对照组50例。对照组单纯给予醋酸泼尼松、甲钴胺、VitB1治疗；物理治疗组在药物治疗同时给予超短波、紫外线和直流电局部导入VitB1治疗；综合康复组则是在物理治疗基础上再给予面部肌肉运动训练。用多伦多面神经评定系统分别在治疗
2、前和治疗后第30天进行评定。结果：治疗后第30天面神经功能评分与各组治疗前相比有显著性意义。综合康复组和物理治疗组面神经评分都明显优于对照组（P＜0.01），且综合康复组评分高于物理治疗组。结论：综合康复治疗特发性面神经麻痹可迅速缓解症状，促进功能恢复。关键词特发性面神经麻痹；超短波；紫外线；直流电；康复中图分类号：R493,R745.1文献标识码：A文章编号：1001-1242（2009）-06-543-04Effectoffacialmusclemovementonfunctionalrecoveryo
3、fidiopathicfacialparalysis/MAYuewen,DONGJichao,DUBaocong,etal.//ChineseJournalofRehabilitationMedicine,2009,24(6):543—546AbstractObjective:Toexploretheeffectonpromotingfunctionalrecoveryofidiopathicfacialparalysisthroughfacialmusclemovementtraining.Method:
4、Onehandredandthirty-eightpatientswithidiopathicfacialparalysiswererandomlyassignedtoacomprehensiverehabilitationgroup(rehab,n=48),physicaltherapygroup(physiotherapy,n=40)andusualcaregroup(control,n=50).Prednisoneacetate,methylcobalaminandVitB1weresimplygiv
5、entothecontrolpatients.Patientsinphysicaltherapygroupweretreatedbyultrashortwave,ultraviolet(UV)raysandinducingVitB1bydirectcurrentinadditiontodrugtherapy.Onthebasisofphysicaltherapy,facialmusclemovementtrainingwasaddedtocomprehensiverehabilitationgroup.As
6、sessmentwasmeasuredbeforeandthe30daftertreatmentwiththesystemofSunnybrook.Result:Onday30aftertreatment,theneurologicalscoresofSunnybrookcomparingwithpre-treatmentshowedverysignificantlydifferent(P＜0.001).Comparedwithcontrolgroup,scoresoffacialnerveofpatien
7、tsinrehabandphysicaltherapygroupweresignificantlyhigher，respectively(P＜0.01).Moreoverthescoreofrehabpatientswashigherthanphysiotherapy′s.Conclusion:Comprehensiverehabilitationcanquicklyrelievesymptomsandpromotefunctionalrecoveryofidiopathicfacialparalysis.
8、Author′saddressDept.ofRehabilitation,TheFirstHospitalofChineseMedicalSciencesUniversity,Shenyang,110001Keywordsidiopathicfacialparalysis;ultrashortwave;ultravioletrays;directcurrent;rehabilitation特发性面神经麻痹（idi
