耳带状疱疹是面瘫的少见原因,但预后不良。作者用无环鸟苷治疗7例耳带状疱疹患者。患者耳痛2～10天出现面瘫,面瘫1～ 5天后开始治疗。患者均有听力减退,5例轻、中度聋(25～45dB),3例平衡不稳,2例中度头晕,1例重度眩晕,4例Ⅸ脑神经,1例X脑神经和1例脑干受累。无环鸟苷10mg/kg,每8小时1次,静注7天。治疗后观察6个月～3.5年。入院时,7例患者中有5例面神经全瘫,2例分别有20％和50％的功能。出院时,5例有自发性功能,其中1例有50％ Herpes zoster is a rare cause of facial paralysis, but its prognosis is poor. The authors used acyclovir to treat 7 patients with herpes zoster. Patients with 2 to 10 days of earache facial paralysis, facial paralysis 1 to 5 days after treatment. All patients had hearing loss, 5 mild to moderate deafness (25 ~ 45dB), 3 patients with unstable balance, 2 moderate dizziness, 1 severe dizziness, 4 Ⅸ cranial nerves, 1 X cranial nerve and 1 patient Brainstem involvement. Acyclovir 10mg / kg, once every 8 hours, intravenous injection for 7 days. After treatment for 6 months to 3.5 years. At admission, 5 of the 7 patients had facial paralysis and 20% and 50% of the 2 patients, respectively. At discharge, 5 patients had spontaneous function, of which 1 had 50%