糖尿病合并周围性面神经麻痹60例临床分析

摘要

目的：探讨糖尿病合并周围性面神经麻痹与非糖尿病周围性麻痹的关系。方法回顾性分析该院2012年12月—2014年12月收治的60例面神经麻痹患者的临床资料，将其分为两组。其中30例患者为糖尿病合并周围性面神经麻痹为实验组，另一组30例患者为非糖尿病合并周围性神经面瘫为对照组，并对比分析两组患者的临床资料。结果糖尿病组的患者患侧乳突及周围部位出现疼痛的例数要少于非糖尿病组；糖尿病组健侧、患侧的面神经肌作用的针灸治疗后好于非糖尿病组，两组患者均在3个月内恢复，且没有后遗症情况出现。并且经过治疗后实验组显效35例，有效20例，无效5例，对照组显效8例，有效12例，无效40例，相对于对照组来说，效果更好，病人恢复情况更好，针灸治疗对于预防和减少并发症的发生有较好的效果，说明此方式对于此病有较好的治疗效果，对于促进患者康复和缩短住院时间有一定的促进效果，符合当代医疗理念的要求。结论经过对病例临床资料的分析得出，患者糖尿病合并周围性神经麻痹是糖尿病的合并症所致，不是面神经损伤而导致的神经病变。%Objective To explore the relationship between diabetes mellitus and non-diabetic peripheral facial paralysis and peripheral paralysis. Methods A retrospective analysis of our hospital in December 2010-60 cases in December 2014 admitted to the clinical data of patients with facial paralysis, which was divided into two groups. 30 patients were diabetic patients with peripheral facial paralysis as the experimental group, another group of 30 patients with non-diabetic patients with peripheral neuropathy facial paralysis as the control group, and comparative analysis of the clinical data of the two groups of patients. Results The number of patients with diabetic group of ipsilateral mastoid and pain around the site to be less than the non-diabetic group; after facial nerve contralateral muscle action of the diabetic group, the ipsilateral acupuncture treatment is better than the non-diabetic group, patients in both groups within three months of recovery, and no sequelae situation. And after treatment in the experimental group 35 cases markedly effective in 20 cases, five cases of the control group, 8 cases were markedly effective in 12 cases, 40 cases, compared with the control group, the better, better pa-tient recovery, acupuncture treatment for the prevention and reduction of complications have better results, described in this way for the disease have a better therapeutic effect, to promote the rehabilitation of patients and shorter hospital stays have a promoting effect, meet the requirements of contemporary medical philosophy. Conclusion After analysis of the clinical da-ta on cases concluded that diabetic patients with peripheral nerve paralysis is caused by complications of diabetes, not the facial nerve damage caused by neuropathy.