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引起面神经麻痹的疾病多达89种,周围性面神经麻痹在耳鼻喉科门诊多见,其中Bell麻痹发病率最高,据东京大学耳鼻喉科门诊1987～1991年5年的统计,Bell麻痹占全部面神经麻痹的41％,Hunt综合征占15％。Bell麻痹原因虽不明,但因带状疱疹病毒引起的Hunt综合征的预后比较好,自愈者不少。Bell麻痹治愈率约占70％。还有约30％预后不良,部分可残留联带运动和面肌痉挛等后遗症。目前大致可分为保守治疗和外科治疗。保守治疗:包括药物治疗、理疗、神经封闭及针刺治疗。1.药物治疗:
Facial paralysis caused by up to 89 kinds of diseases, peripheral facial paralysis in ENT clinics more common, of which Bell paralysis incidence of the highest, according to the University of Tokyo Otolaryngology clinic 1987 ~ 1991 5 years of statistics, Bell paralysis accounted for all facial nerve 41% of paralysis, Hunt syndrome accounted for 15%. Although the cause of Bell paralysis is unknown, but the prognosis of Hunt syndrome caused by the herpes zoster virus is better, a lot of self-healing. Bell paralysis cure rate of about 70%. There are about 30% of the poor prognosis, some may remain associated movement and hemifacial spasm and other sequelae. At present can be divided into conservative treatment and surgical treatment. Conservative treatment: including drug therapy, physiotherapy, nerve block and acupuncture treatment. 1. Medication: