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电镜观察针刺与神经修复治疗周围性面神经麻痹

Electron Microscope Observation of Acupuncture and Nerve Repair in the Treatment of Peripheral Facial Paralysis.

作者信息

Shan Zhenggen

机构信息

Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, China.

出版信息

Emerg Med Int. 2022 Jul 13;2022:5432223. doi: 10.1155/2022/5432223. eCollection 2022.

Abstract

The repair of peripheral facial paralysis is a long-term problem in neurosurgery, and nerve repair is often needed. Due to the high differentiation of nerve tissue and the slow regeneration of peripheral nerve fibers, the repair effect after peripheral nerve injury is not ideal. In recent years, studies have found that the inflammatory response after peripheral nerve injury also has an important impact on the repair of peripheral nerve defects. This study depends on the utilization of traditional needle therapy in the treatment of fringe facial loss of motion, and the clinical adequacy of needle therapy in addition to nerve fix in the intense period of fringe facial loss of motion was seen with an electron magnifying lens. Endeavor to give significant exploration results to the clinical treatment of fringe facial loss of motion gives a straightforward, simple, protected, and successful new treatment innovation for the clinical treatment of the infection and enriches the treatment plan for peripheral facial paralysis. Transmission electron microscopy observations showed that 21 days after the artificial nerve was repaired, the nerve injury showed different degrees of recovery, and the myelin sheath was forming and gradually wrapping the new axons, which was similar to the catheter group (NC) and hydrogel group (HC). In contrast, the myelin layer of the fibroblast group (FHC) is more obvious, and the repair effect is better. In the maintenance of fringe nerve surrenders, irritation is an unavoidable interaction, and moderate needle therapy is useful to advance the maintenance of fringe nerve abandons. Talking about the law of nerve fix reaction in fringe nerve imperfection fix is helpful to the examination of fringe nerve deformity fix. Tests have shown that utilizing needle therapy and moxibustion joined with nerve fixes has accomplished great outcomes in the treatment of fringe facial loss of motion, and the patient's recuperation rate has expanded by over 30%.

摘要

周围性面瘫的修复是神经外科的一个长期问题,常需要进行神经修复。由于神经组织分化程度高,周围神经纤维再生缓慢,周围神经损伤后的修复效果并不理想。近年来,研究发现周围神经损伤后的炎症反应对周围神经缺损的修复也有重要影响。本研究依托传统针刺疗法治疗周围性面瘫,借助电子显微镜观察针刺疗法在周围性面瘫急性期联合神经修复的临床疗效。力求为周围性面瘫的临床治疗提供有意义的探索成果,为该病的临床治疗提供一种简便、安全、有效的新治疗方法,丰富周围性面瘫的治疗方案。透射电镜观察显示,人工神经修复21天后,神经损伤呈现不同程度的恢复,髓鞘正在形成并逐渐包裹新生轴突,这与导管组(NC)和水凝胶组(HC)相似。相比之下,成纤维细胞组(FHC)的髓鞘层更明显,修复效果更好。在周围神经缺损的修复中,刺激是一个不可避免的过程,适度的针刺疗法有助于促进周围神经缺损的修复。探讨周围神经缺损修复中神经修复反应的规律有助于周围神经缺损修复的研究。试验表明,针刺艾灸联合神经修复在周围性面瘫治疗中取得了良好效果,患者的康复率提高了30%以上。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e3/9300289/6aba37bb405d/EMI2022-5432223.001.jpg

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