许梦雅;朱庆华;贾艳露;陈素艳;姜波;张振香;

• 1:郑州大学第二附属医院
• 2:郑州大学护理与健康学院
• 3:巩义市人民医院

摘要(Abstract)：

目的探讨Rood技术结合面肌协调性训练治疗重度周围性面瘫的疗效。方法选取2017-06—2020-06在郑州大学第二附属医院就诊的重度周围性面瘫患者60例,治疗组30例,对照组30例。对照组采用药物治疗、针灸、理疗等,治疗组采用Rood技术加面肌协调性训练,同时采取与对照组相同的治疗手段。总疗程4～6周,治疗结束后比较2组House-Brackmann(H-B)面神经功能分级、Portmann评分。结果治疗后H-B分级:治疗组Ⅰ级8例(26.7%),Ⅱ级16例(53.3%),对照组H-B分级Ⅰ级1例(3.3%),Ⅱ级12例(40%),治疗组H-B分级变化幅度明显大于对照组(P<0.05)。治疗后Portmann评分:治疗组(17.2±2.7)分,对照组(12.7±3.2)分,治疗组明显高于对照组(P<0.05)。2组H-B分级评分和Portmann评分治疗前后比较差异有统计学意义(P<0.05)。结论根据面部表情肌的解剖学走向,应用Rood技术结合面肌协调性训练治疗重度周围性面瘫,可使面肌的主、被动运动更充分,传入大脑的感觉信号更具体,更有利于中枢对肌肉再支配的恢复,可促进面部表情肌肌张力恢复,促进运动控制能力的提高,提升疗效,缩短病程。

关键词(KeyWords)： 重度周围性面瘫;Rood技术;面肌协调性训练;面神经功能;神经康复

Abstract:

Keywords:

基金项目(Foundation): 河南省医学科技攻关项目（编号：201702074）;; 河南省科技厅科技攻关项目（编号：182102310191）

作者(Authors): 许梦雅;朱庆华;贾艳露;陈素艳;姜波;张振香;

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