Aghamohamdi Dawood, Fakhari Solmaz, Farhoudi Mehdi, Farzin Haleh
Department of anesthesiology, Imam Reza Medical Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Imam Reza Medical Center, Tabriz University of Medical Science, Tabriz, Iran.
J Lasers Med Sci. 2020 Summer;11(3):310-315. doi: 10.34172/jlms.2020.52. Epub 2020 Jun 21.
The most common causes of the abrupt onset of unilateral facial weakness are stroke and Bell's palsy. The drug regimen together with electrical stimulation was more effective in treating Bell's palsy than conventional drug treatment alone. We aimed to evaluate more effective and safe therapies for the treatment of Bell's palsy. This clinical interventional study was conducted on 30 diabetic patients with Bell's palsy who referred to a pain clinic for 1 year and were treated by low-level laser (LLL). The system of House-Brackmann was used for assessing the severity of nerve damage and patients were evaluated by electromyography and nerve conduction study (NCS) before and after treatment with low-level laser. These patients had not consumed any other medication for facial nerve palsy. In the present study, 30 cases with poorly controlled diabetes mellitus (18 females and 12 males) were studied. After 12 sessions of low-level laser therapy (LLLT), we could observe complete recovery in 18 patients and partial recovery in 6 patients after 3 months. The recovery rate showed that LLLT is a safe, reliable and proper alternative approach for the treatment of facial nerve palsy, especially in the presence of underlying conditions such as diabetes mellitus.
单侧面部无力突然发作的最常见原因是中风和贝尔麻痹。与单独的传统药物治疗相比，药物治疗联合电刺激在治疗贝尔麻痹方面更有效。我们旨在评估治疗贝尔麻痹更有效且安全的疗法。这项临床干预研究针对30名患有贝尔麻痹的糖尿病患者进行，这些患者在一家疼痛诊所就诊1年，并接受了低强度激光（LLL）治疗。采用House-Brackmann系统评估神经损伤的严重程度，并在低强度激光治疗前后通过肌电图和神经传导研究（NCS）对患者进行评估。这些患者未曾服用过任何其他治疗面神经麻痹的药物。在本研究中，对30例糖尿病控制不佳的患者（18名女性和12名男性）进行了研究。经过12次低强度激光治疗（LLLT）后，3个月后我们观察到18例患者完全恢复，6例患者部分恢复。恢复率表明，低强度激光治疗是治疗面神经麻痹的一种安全、可靠且合适的替代方法，尤其是在存在糖尿病等基础疾病的情况下。
