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1例周围性面瘫并脑脊液耳漏的围术期护理
周围性面瘫系面神经核团或其下的面神经各段损害所致的面神经瘫痪,以面部表情肌的瘫痪为显著特征,病人常出现焦虑、自卑心理,影响生活和工作.针对病人病情进行积极评估、予以心理疏导,实施全面的健康教育,使病人积极参与诊疗护理活动,促进病情康复.我科于2008年8月收治1例外伤致周围性面瘫并脑脊液耳漏病人,成功地进行了面神经全程减压术、鼓室成形术、耳甲腔成形术,术后病人恢复良好,面瘫有所改善,听力较前提高,好转出院.现将护理体会介绍如下.
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神蜂精刮痧治疗周围性面瘫42例
Background: Peripheral facial paralysis is a common disease with facial nerve paralysis, facial mimetic muscle dyscinesia, and deviation of the eye and mouth. It is commonly considered that peripheral facial paralysis might be correlated with virus infection, rheumatism, ischemia, immunity. Pathological changes included edema, denaturation, atrophy, and ischemia of facial nerve. In traditional Chinese medicine, peripheral facial paralysis is caused by stagnation of qi and blood, malnutrition of channels and vessels, and cizhongbusou. Curing rheumatism, warming yang and supplementing qi, relaxing stagnation, regulating qi and blood should be emphasized in treatment. Guasha belongs to massage and is characterized by easy operation, and reliable therapeutic effect. Guasha can stimulate nerve strongly, improve metabolism, and enhance immunity and promoting blood circulation. " Head is the center of all yangs" . According to principle of acupoint selection along channels, guasha of channels distributed in neck, shoulder, hand, and region with yang channels of hand and foot, in combination with external wasp cream with antiinflammation and removing stagnation, self local massage,and functional exercise of facial muscles are effective in improving blood circulation of head and face,remove edema of facial nerve,promote recovery of facial muscles.