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探索贝尔麻痹的非侵入性治疗方法:一例病例报告。

Exploring Non-invasive Therapies for Bell's Palsy: A Case Report.

作者信息

Sawarbandhe Prem A, Mohod Swapnil, Batra Mahek R, Basra Arshjot S

机构信息

Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jun 24;16(6):e63071. doi: 10.7759/cureus.63071. eCollection 2024 Jun.

DOI:10.7759/cureus.63071
PMID:39055433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11272154/
Abstract

Unknown in origin, Bell's palsy is a common acute facial nerve paralysis that is usually characterized by unilateral facial weakening or paralysis. People of all ages are affected by this illness, which peaks in the fourth decade of life. Although the precise etiology is yet unknown, viral infections - particularly type 1 herpes simplex virus - are frequently linked to the problem. Based on the evidence of abrupt onset facial weakness and the elimination of other neurological diseases, the diagnosis is essentially clinical. The goals of management techniques are to lessen related symptoms, encourage nerve regeneration, and lessen inflammation. Corticosteroids, antiviral drugs, physical therapy, and supportive measures are available as treatment alternatives. The majority of patients experience spontaneous recovery within weeks to months, and the prognosis is generally excellent. Nonetheless, a portion may experience long-term consequences, highlighting the significance of individualized follow-up care. Bell's palsy is succinctly summarized in this abstract to aid in better comprehension and well-informed clinical practice decision-making.

摘要

贝尔麻痹病因不明,是一种常见的急性面神经麻痹,通常表现为单侧面部无力或瘫痪。各年龄段的人都可能受此病影响,发病高峰在40岁左右。尽管确切病因尚不清楚,但病毒感染——尤其是1型单纯疱疹病毒——常与此病相关。基于突发性面部无力的症状以及排除其他神经系统疾病,诊断基本靠临床判断。治疗方法的目标是减轻相关症状、促进神经再生并减轻炎症。治疗选择包括皮质类固醇、抗病毒药物、物理治疗和支持性措施。大多数患者在数周或数月内可自发恢复,预后总体良好。然而,部分患者可能会出现长期后遗症,这凸显了个体化随访护理的重要性。本摘要简要总结了贝尔麻痹,以帮助更好地理解并做出明智的临床实践决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ed/11272154/39401663c474/cureus-0016-00000063071-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ed/11272154/7d85ac95b697/cureus-0016-00000063071-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ed/11272154/2e34b1624fde/cureus-0016-00000063071-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ed/11272154/f1a22a75ea53/cureus-0016-00000063071-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ed/11272154/39401663c474/cureus-0016-00000063071-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ed/11272154/7d85ac95b697/cureus-0016-00000063071-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ed/11272154/2e34b1624fde/cureus-0016-00000063071-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ed/11272154/f1a22a75ea53/cureus-0016-00000063071-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ed/11272154/39401663c474/cureus-0016-00000063071-i04.jpg

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J Neurovirol. 2025 May 15. doi: 10.1007/s13365-025-01258-7.

本文引用的文献

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Clinical application of physical therapy in facial paralysis treatment: A review.物理疗法在面瘫治疗中的临床应用:综述。
J Plast Reconstr Aesthet Surg. 2023 Dec;87:217-223. doi: 10.1016/j.bjps.2023.10.076. Epub 2023 Oct 13.
2
Bell's Palsy: A Review.贝尔麻痹:综述
Cureus. 2022 Oct 11;14(10):e30186. doi: 10.7759/cureus.30186. eCollection 2022 Oct.
3
Antiviral treatment for Bell's palsy (idiopathic facial paralysis).贝尔氏面瘫(特发性面神经麻痹)的抗病毒治疗。
Cochrane Database Syst Rev. 2019 Sep 5;9(9):CD001869. doi: 10.1002/14651858.CD001869.pub9.
4
The etiology of Bell's palsy: a review.贝尔面瘫的病因:综述
J Neurol. 2020 Jul;267(7):1896-1905. doi: 10.1007/s00415-019-09282-4. Epub 2019 Mar 28.
5
Management of Bell's palsy.贝尔面瘫的管理
Aust Prescr. 2017 Jun;40(3):94-97. doi: 10.18773/austprescr.2017.030. Epub 2017 Jun 1.
6
Bell's palsy: aetiology, clinical features and multidisciplinary care.贝尔氏麻痹:病因、临床特征和多学科治疗。
J Neurol Neurosurg Psychiatry. 2015 Dec;86(12):1356-61. doi: 10.1136/jnnp-2014-309563. Epub 2015 Apr 9.
7
Clinical practice guideline: Bell's palsy.临床实践指南:贝尔氏麻痹。
Otolaryngol Head Neck Surg. 2013 Nov;149(3 Suppl):S1-27. doi: 10.1177/0194599813505967.
8
Bell's palsy and autoimmunity.贝尔氏麻痹症与自身免疫。
Autoimmun Rev. 2012 Dec;12(2):323-8. doi: 10.1016/j.autrev.2012.05.008. Epub 2012 Jun 8.
9
Bell's palsy: Treatment guidelines.贝尔面瘫:治疗指南。
Ann Indian Acad Neurol. 2011 Jul;14(Suppl 1):S70-2. doi: 10.4103/0972-2327.83092.
10
Bell's palsy: diagnosis and management.贝尔麻痹:诊断与治疗
Am Fam Physician. 2007 Oct 1;76(7):997-1002.