2013年面瘫诊疗计划难点剖析与处理思路(国外英文资料).doc

2013年面瘫诊疗方案难点分析与解决思路 Treatment of facial paralysis (facial neuritis) A, diagnosis, (1) diagnosis of disease 1, the TCM diagnostic criteria: refer to ordinary higher education 15 national planning materials acupuncture (xue-min shi Ed., Chinese traditional Chinese medicine press, 2007). (1) sudden onset of disease, the spring and autumn period, often with cold history or a side of the cheek, ear, and behind the ear, the pain or fever. (2) one side of the face is sluggish, numbness, tears, the forehead is gone, the mouth of the nose is shallow, the eye cannot close, the mouth Angle is to the health care. (3) the side cannot be closed, the gills, and the teeth. (4) the electromyography may be abnormal. 2, western medicine diagnostic criteria: refer to the ordinary higher education 15 national planning materials the fifth edition of the neurology (wei-zhi wang editor, peoples medical publishing house, 2004). (1) medical history: a sudden onset of illness, a history of cold blow-blowing, or a history of viral infection. (2) performance: on one side of the lateral frontal facial muscle paralysis, suddenly disease lines disappear, palpebral fissure cant closed, nasolabial sulcus becomes shallow, quarrel prolapse, drum gills, whistling leak, food easily in disease between lateral tooth cheek, tongue loss of anterior two-thirds of taste, can be associated with disease side hyperacusis and many tears, etc. (3) brain CT and MRI were normal. (2) stages of disease (1) early (acute phase) : onset of onset to 15 days; (2) metaphase (recovery period) : 16 days to 6 months (in the first half of the disease); (3) duration of sequelae (duration and spasm) : after 6 months of onset (after the facial muscle joint movement appears). (3) diagnosis and diagnosis 1, the wind chill card: suddenly the mouth of the eye is crooked, the eyelid closes not all, and the meeting department has the history of the cold, the tongue lichen thin white, the pulse is tight. 2, the heat of the wind attacks