欧阳辉，何雪常，林珍萍，陈卓铭.1170例面神经炎治疗策略的回顾性分析[J].中华物理医学与康复杂志,2017,39(5):351-35
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| 1170例面神经炎治疗策略的回顾性分析 |
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| DOI： |
| 中文关键词: 面神经炎 物理治疗 针灸 激素 |
| 英文关键词: Bell′s palsy Physical therapy Acupuncture Hormone therapy |
| 基金项目:国家科技部“十二五”科技支撑计划课题（2013BAI10B01）;广州市科技平台项目(1561000289, 155700029);广东省医学科研基金项目（A2012336） |
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| 中文摘要: |
| 目的回顾性分析常规物理治疗、针灸及激素对周围性面神经炎（BP）患者治疗效果的影响，给临床提供最佳治疗建议。 方法回顾分析2012年10月至2015年11月暨南大学附属第一医院门诊收治的1170例BP患者的临床资料，使用Kruskal-Wallis检验比较分析不同季节发病、不同年龄发病、不同治疗方法和有无免疫相关并发症间BP病程和总费用的差异，并采用多因素Logistic回归方程分析影响BP病程的相关因素。 结果物理治疗（OR=3.28;95% CI=1.17～9.21）、激素（OR=2.63;95%CI=1.17～5.88）为病程的保护因素，有免疫相关并发症为病程的危险因素（OR=0.30;95%CI=0.10～0.93）；针灸治疗时间＞1个月的BP患者的病程比不采用针灸治疗的患者长（OR=0.04;95%CI=0.01～0.16）；激素联合物理治疗病程最短（P<0.05），治疗费用最低（P<0.01）。 结论早期激素联合物理治疗可缩短BP病程，降低治疗费用。 |
| 英文摘要: |
| Objective To explore the efficacy of conventional physical therapy, acupuncture and hormone intervention for treating Bell′s palsy so as to suggest an optimal treatment in clinical practice. MethodsClinical data on 1170 patients with Bell′s palsy (BP) treated at the First Affiliated Hospital of Jinan University between October 2012 and November 2015 were collected and analyzed retrospectively. The Kruskal-Wallis test was used to compare the differences in disease course and in total cost among the patients. Seasons of the year, age, treatments, as well as the presence of immune-related diseases were the covariates studied. Multivariate logistic regression equation was used to test for any significant relationships. ResultsPhysical therapy and hormones were found to have shortened the average course of treatment, but immune-related complicating diseases were shown to be risk factors. Patients receiving acupuncture for more than 1 month had longer courses of the disease than those without. Patients whose treatment combined hormones with physical therapy had the shortest disease course and lower total cost on average. ConclusionEarly hormone intervention combined with physical therapy can shorten the course of BP and lower the cost of treatment. |
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