針刺對顏面肌痙攣效用之前瞻性臨床觀察

為了探討針刺對顏面肌痙攣的效用，我們前瞻性臨床觀察8位顏面肌痙攣病患的針刺療效，並閱讀有關顏面肌痙攣發病理論之醫學文獻。針刺是每週一次或二次，針刺六次以上。療效判定是根據患者的自己感覺及醫師客觀觀察痙攣的發作頻率和大小。8位患者中有2位做頭部磁振造影檢查。結果發現針刺治療後8位顏面肌痙攣患者中7位有效，而1位沒有改善。2位頭部磁振造影都出現痙攣同側橋腦小腦角處有明顯可見的血管，而健側則沒有。結論是針刺可以改善顏面肌痙攣，針刺可能經由誘發顏面神經逆行的神經衝動減少顏面運動核或神經血管壓迫之focal demyelination處往下而來神經衝動的強度；或者針刺誘發大腦皮質產生抑制性下行神經衝動抑制顏面運動核的過度興奮來改善顏面肌痙攣。

關鍵字

顏面肌痙攣；針刺

並列摘要

In order to investigate the effect of acupuncture on facial spasm, pilot clinical observation was performed in therapeutic effect of acupuncture on facial spasm in eight patients, and read medical recordings that study specifically the pathogenesis of facial spasm. Acupuncture treatment was one or two times/week and at least six times. Therapeutic effect of acupuncture was determined according to the subjective sensation of patients, and frequency and severe degree of facial spasm that were objectively observed by the doctor. In addition, cranial magnet image examination was performed in the two facial spasm patients. The results indicated that the frequency and severe degree decreased in seven facial spasm patients after acupuncture treatment, but one patient was no improve. A prominent visible blood vessel in the pontocerebellar angle was noted in the affective side, but no similar finding was noted in the non-affective side. In conclusion, acupuncture may improve facial spasm, this effect of acupuncture probable mediates via a antidromic impulse of facial nerve to decrease intensity of impulse that is orthodromic transmission from facial motor nucleus or from focal demyelization of neurovascular compression; acupuncture evoked cerebral cortex to produce a descending inhibiting impulse to inhibit the hyperexcitablity of facial motor nucleus to improve facial spasm.

並列關鍵字

Facial spasm ； Acupuncture

國際替代計量

針刺對顏面肌痙攣效用之前瞻性臨床觀察

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