Mooney Tracy
Great Bentley Surgery, Essex.
Nurs Stand. 2013;28(14):44-9. doi: 10.7748/ns2013.12.28.14.44.e7979.
Bell's palsy (idiopathic facial paralysis) is the most common cause of acute unilateral facial nerve paralysis. Although it is usually a self-limiting condition, it can be distressing for the patient. Many people who experience one-sided facial paralysis fear that it is a symptom of stroke. However, there are subtle differences between Bell's palsy and stroke. This article discusses potential causes of the condition and identifies the differences between Bell's palsy and stroke. In addition, appropriate strategies for the care of patients with the condition are suggested. Management includes antiviral medication, corticosteroid therapy, eye care, botulinum toxin type A injection, physiotherapy, surgery and acupuncture. Psychological and emotional care of these patients is also important because any facial disability caused by facial nerve paralysis can result in anxiety and stress.
贝尔麻痹（特发性面神经麻痹）是急性单侧面神经麻痹最常见的病因。尽管它通常是一种自限性疾病，但对患者来说可能令人苦恼。许多经历单侧面部麻痹的人担心这是中风的症状。然而，贝尔麻痹和中风之间存在细微差别。本文讨论了该疾病的潜在病因，并明确了贝尔麻痹和中风之间的差异。此外，还提出了针对该疾病患者的适当护理策略。治疗包括抗病毒药物、皮质类固醇疗法、眼部护理、A型肉毒毒素注射、物理治疗、手术和针灸。对这些患者的心理和情感护理也很重要，因为面神经麻痹导致的任何面部残疾都可能引发焦虑和压力。
