糖皮质激素不同给药方式治疗贝尔面瘫临床观察Clinical observation of different administration methods of glucocorticoid in treating Bell’s palsy
孟令浩;耿曼英;闫保星;
摘要(Abstract):
目的观察糖皮质激素不同给药方式治疗贝尔面瘫的临床疗效。方法将贝尔面瘫120例患者随机分为3组各40例,A组(常规治疗组)给予常规药物、红外线理疗治疗,B组(静滴组)及C组(耳后注射组)在常规治疗的基础上分别加用糖皮质激素静滴及耳后乳突区注射糖皮质激素,3组疗程均为15 d,观察3组临床疗效。结果 A组总有效率为70.0%,B组为92.5%,C组为90.0%,A组分别与B组、C组比较差异均有统计学意义(P<0.05),B组、C组比较差异无统计学意义(P>0.05)。结论糖皮质激素早期应用于贝尔面瘫治疗,可迅速减轻面神经水肿,有利于疾病恢复。耳后局部注射糖皮质激素与全身用药效果相当,不良反应较低,值得临床推荐。
关键词(KeyWords): 贝尔面瘫;面神经水肿;糖皮质激素;给药方式;耳后注射;全身用药
基金项目(Foundation):
作者(Authors): 孟令浩;耿曼英;闫保星;
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