| 激素对糖尿病与非糖尿病伴特发性面神经麻痹的疗效比较 |
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| 引用本文： | 周艳霞,龙霞,李鹭江. 激素对糖尿病与非糖尿病伴特发性面神经麻痹的疗效比较[J]. 现代医学, 2011, 39(1): 5-9. DOI: 10.3969/j.issn.1671-7562.2011.01.002 |
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| 作者姓名： | 周艳霞 龙霞 李鹭江 |
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| 作者单位： | 深圳市第二人民医院,神经内科,广东,深圳,518035 |
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| 摘 要： | 目的:观察比较激素治疗对糖尿病(DM)与非DM伴特发性面神经麻痹(面瘫)的疗效。方法:回顾分析41例面瘫患者的临床资料,其中20例无DM史,21例有DM史,分别予常规激素治疗、短期激素治疗或不用激素治疗,比较3种治疗方法的不同效果。结果:不管是轻中度面瘫患者还是重度面瘫患者,非DM者用激素治疗效果最优,对于DM患者,轻中度患者用激素治疗效果比不用激素治疗者差,对于重度患者,用激素治疗与不用激素治疗差异没有显著性。DM者的神经传导速度(NCV)及瞬目反射(BR)的重度异常率均明显高于非DM者。结论:对于DM伴发的面瘫患者,不管病情轻重,尽量控制血糖在正常范围是基础;即使是重症患者,短期激素的使用也并不能改善患者的预后。
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| 关 键 词： | 糖尿病 面神经麻痹 激素 |
Electrophysiological findings and different effect with steroids treatment of acute peripheral facial palsy in diabetic and non-diabetic patients |
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| ZHOU Yan-xia,LONG Xia,LI Lu-jiang. Electrophysiological findings and different effect with steroids treatment of acute peripheral facial palsy in diabetic and non-diabetic patients[J]. Modern Medical JOurnal, 2011, 39(1): 5-9. DOI: 10.3969/j.issn.1671-7562.2011.01.002 |
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| Authors: | ZHOU Yan-xia LONG Xia LI Lu-jiang |
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| Affiliation: | ZHOU Yan-xia,LONG Xia,LI Lu-jiang(Department of Neurology,Shenzhen Second People's Hospital,Guangdong 518035,China) |
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| Abstract: | Objective:To evaluate electrophysiological findings and different effects of steroids treatment for acute peripheral facial palsy in diabetic and non-diabetic patients.Methods: 41 patients with peripheral facial paralysis,21 with diabetic mellitus and 20 without,were treated with conventional steroids therapy,short-term steroids therapy,without steroids therapy,the effects of three different treatment methods were compared.Results: For patients with mild to moderate or severe facial paralysis in non-diabeti... |
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| Keywords: | diabetes peripheral facial palsy steroids |
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