Objective To observe.the clinical efficacy of methylprednisolone sodium succinate injection in the screening area in the treatment of Bell palsy in the acute stage.Methods The 120 cases of Bell palsy in the acute stage were randomly divided into 2 groups,60 cases in the sieve injection group(sieve injection of methylprednisolone sodium succinate+ordinary acupuncture),and 60 cases in the oral hormone group(oral prednisone tablets + ordinary acupuncture),and the clinical efficacy of the patients was evaluated on the day0,5,10,15,20 and 30 day of treatment.The facial nerve function evaluation grading system(H-B)and facial disability index scale(FDI)were used to compare the clinical efficacy of the two groups before and after treatment,and the duration of pain behind the ear and the occurrence of adverse reactions were statistical.Re-sults The effective rate was 88.33%in the sieve injection group and 90.00%in the oral hormone group,and there was no significant difference between the two groups(P>0.05);there was no significant difference in H-B rating and FDI score between the two groups in the time period before and after treatment(P all>0.05);there was no significant difference in the onset time and admission time of behind the ear pain in the two groups before treatment(Pall>0.05),and the duration of post-treatment sieve injection group was shorter than that in the oral hormone group(P<0.001).Conclusion Both sieve injection administration and systemic administration can obtain satisfactory efficacy.Sieve injection can significantly shorten the duration of pain behind the ear.There was no incidence of serious adverse reactions in either group,and the sieve injection administration method is worthy of clinical promotion.
关键词
筛区/筛区注射/甲泼尼龙琥珀酸钠/贝尔面瘫/疗效观察
Key words
sieve area/sieve area injection/methylprednisolone sodium succinate/Bell palsy/efficacy observation