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肾上腺皮质类固醇治疗Bell氏麻痹(特发性面肌麻痹)仍有争论。本文对239例急性Be11氏麻痹患者(均在发病5天内)随机分为两组,进行临床与电生理学对照研究以评定类固醇对本病的疗效。(1)类固醇治疗组:107例,其中轻度麻痹20%,中度麻痹46%,重度麻痹35%;(2)对照组:132例,其中轻度麻痹19%,中度麻痹53%,重度麻痹28%。成人强的松用法:60mg/日,10天;40mg/日,2天;30mg/日,2天;10mg/日,1天;5mg/日,2天。儿童剂量酌减。
Adrenal corticosteroid treatment of Bell’s palsy (idiopathic facial paralysis) is still controversial. In this paper, 239 patients with acute Bell’s palsy (all within 5 days of onset) were randomly divided into two groups, clinical and electrophysiological control study to assess the efficacy of steroids on the disease. (1) Steroid treatment group: 107 cases, of which mild paralysis 20%, moderate paralysis 46%, severe paralysis 35%; (2) control group 132 cases, of which mild paralysis 19%, moderate paralysis 53% Severe paralysis 28%. Adult prednisone Usage: 60mg / day for 10 days; 40mg / day for 2 days; 30mg / day for 2 days; 10mg / day for 1 day; Children reduce dosage.