貝爾氏麻痹（Bell's palsy）的針灸治療病例報告

一位66歲女性病患，出遊感冒後出現面癱－貝爾氏麻痹，發病後第4天以西醫口服類固醇一周治療效果不顯著，於發病後第12天至花蓮慈濟醫院中醫部就診，就診時顏面神經麻痹分級為House-Brackman Grade IV，但於中醫初診後再次出遊，複診與初診已間隔兩周，距發病時間已有25天，處於恢復期（發病後21-70天），至此才規律接受針灸治療，經過近2個月治療後，顏面神經麻痹分級改善為House-Brackman Grade II，此個案在錯失急性期（發病後1-7天）的針灸治療時間，於恢復期才接受規律的針灸治療，仍可見相當程度的改善。

關鍵字

顏面神經麻痹；面癱；貝爾氏麻痺；針灸

並列摘要

A 66-year-old female patient developed facial paralysis-Bell's palsy after traveling with a cold. 4 days after the onset, oral steroid treatment by western medicine was not effective. 12 days after the onset, she went to the out-patient department of Traditional Chinese Medicine of Hualien Tzu Chi Hospital. It is graded as House-Brackman Grade IV, but her traveled again after the first visit of Chinese medicine. There have been two weeks between the return visit and the first visit. It has been 25 days since the onset of the disease. It is in the recovery stage (21-70 days after the onset). After nearly 2 months of treatment, the facial nerve palsy grade improved to House-Brackman Grade II. This case missed the acupuncture treatment in the acute stage (1-7 days after the onset), and received regular acupuncture treatment during the recovery stage. A considerable degree of improvement can still be seen.

並列關鍵字

facial paralysis ； Bell's palsy ； House-Brackman Grade ； Acupuncture

參考文獻

Xianjun Xiao,1,2 Qianhua Zheng et al., Association of Patients’ Characteristics with Acupuncture Treatment Outcomes in Treating Bell’s Palsy: Results from a Randomised Controlled Trial. Evid Based Complement Alternat Med. 2019 Aug 15;2019:6073484. doi: 10.1155/2019/6073484.

許良豪、莊美幸：特發性顏面神經麻痹－貝爾氏麻痹。基層醫學，2008；23(11)：333-337。