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目的观察星状神经节阻滞治疗面神经炎的临床效果。方法将门诊123例面神经炎急性期患者随机分成3组。Ⅰ组予以常规药物治疗,Ⅱ组单纯予以星状神经节阻滞,Ⅲ组予以常规药物治疗+星状神经节阻滞。观察3组患者在治疗15、30、60 d后的有效率、治愈率,以面瘫综合评分法评估疗效。结果治疗60 d后3组患者的有效率均为100%,常规药物治疗组(Ⅰ组)的治愈率为76.9%(30/39例),单纯星状神经节阻滞组(Ⅱ组)的治愈率为90.9% (30/33例),常规药物治疗+星状神经节阻滞组(Ⅲ组)的治愈率为100%(51/51例)。Ⅲ组的治疗效果明显高于Ⅰ组。结论常规药物治疗+星状神经节阻滞综合治疗能提高急性面神经炎的治愈率、并缩短治疗时间。
Objective To observe the clinical effect of stellate ganglion block in the treatment of facial neuritis. Methods 123 outpatients with facial neuritis in acute stage were randomly divided into 3 groups. Group Ⅰ was treated with conventional drugs, group Ⅱ was treated with stellate ganglion block only, and group Ⅲ with routine drug therapy plus stellate ganglion block. The effective rate and cure rate of the three groups after 15, 30 and 60 days of treatment were observed, and the curative effect was evaluated by comprehensive facial palsy score method. Results After 60 days of treatment, the effective rates of three groups were all 100%. The cure rate of group Ⅰ was 76.9% (30/39), and that of group Ⅱ was The cure rate was 90.9% (30/33 cases). The cure rate was 100% (51/51 cases) in the conventional drug therapy + stellate ganglion block group (group Ⅲ). The treatment effect of group Ⅲ is obviously higher than that of group Ⅰ. Conclusion Conventional drug therapy combined with stellate ganglion blockade can improve the cure rate of acute facial neuritis and shorten the treatment time.