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星狀神經節阻斷療法對末梢顏面神經麻痺有顯著效果
陳俊峰醫師專區 - 星狀神經節阻斷療法
週五, 04 六月 2010 00:58

Effect of SGB on Peripheral Facial Palsy

Yutaka MASUDA

Department of Anesthesiology, Showa University School of Medicine

 


      The effect of stellate ganglion block (SGB) on peripheral facial palsy were studied by comparing the results of electroneuronography (ENoG), palsy score (40-point scoring method) and the period from onset to initial block and recovery. The subjects were 114 patients with Bell's palsy and Hunt syndrome who were treated in our department within 14 days after onset.
      Of the 114 patients, 102 patients had a response to ENoG of 5% or greater and 97% among these caces revealed complete recovery. On the other hand, 12 patients had a response of 4% or less of normal and 67% of those showed unsatisfactory recovery of function. In addition, 8 patients had mild to moderate sequela.
      In conclusion, excellent therapeutic cure rate of facial palsy was obtained by SGB. More earlier treatment of SGB shortened the period of recovery and diminished the drop of ENoG value. From electrophy siological examination, it was suggested that SGB prevented the progress of the nerve degeneration and accelerated the recovery of injured nerve.


The Journal of the Japan Society of Pain Clinicians (JJSPC) Vol. 1 No. 1, 1994

 stellate ganglion block :星狀神經節阻斷療法

peripheral facial palsy :末梢顏面神經麻痺