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Facial Nerve Damage in Bell's Palsy according to When Korean Medical Treatment was Started : A Retrospective Study

벨마비 환자의 한의학적 치료 시작시기에 따른 신경손상률 비교 : 후향적 관찰 연구

  • Choi, Ji Eun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kwon, Min Soo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Jung Hwan (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Jo, Dae Hyun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Han, Ji Sun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Jo, Hee Jin (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Ji Hye (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Hyun Ho (Department of Biofunctional Medicine & Diagnostics, College of Korean Medicine, Kyung Hee University) ;
  • Kang, Jung Won (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Nam, Dong Woo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University)
  • 최지은 (경희대학교 한의과대학 침구의학교실) ;
  • 권민수 (경희대학교 한의과대학 침구의학교실) ;
  • 김정환 (경희대학교 한의과대학 침구의학교실) ;
  • 조대현 (경희대학교 한의과대학 침구의학교실) ;
  • 한지선 (경희대학교 한의과대학 침구의학교실) ;
  • 조희진 (경희대학교 한의과대학 침구의학교실) ;
  • 김지혜 (경희대학교 한의과대학 침구의학교실) ;
  • 김현호 (경희대학교 한의과대학 진단생기능의학과학교실) ;
  • 강중원 (경희대학교 한의과대학 침구의학교실) ;
  • 남동우 (경희대학교 한의과대학 침구의학교실)
  • Received : 2016.05.10
  • Accepted : 2016.06.07
  • Published : 2016.06.20

Abstract

Objectives : Although integrative Korean medical treatments have been suggested to be effective for treating Bell's palsy, the effect of Korean medical treatment according to when treatment was started is unknown in the clinical field. Therefore, this study was conducted to determine the results of treating Bell's palsy according to different starting points of integrative Korean medical treatments. Methods : We screened patients who visited the Facial Palsy Center at Kyung Hee University Hospital for Korean and Western combined medical treatment from March 2011 to February 2016. A total of 821 out of 2086 patients were studied, including their basic characteristics and results of an electromyography. Patients who started Korean medical treatment within 3 days of onset were placed in group A, within 9 days of onset in group B, and patients who started treatment after 10 days of onset were placed in group C. We tried to compare the level of facial nerve damage by electromyography between groups. Results : The patients in group C had the highest axonal loss rates in all branches(frontal, oculi, nasal, oris). The post hoc analyses revealed the difference of axonal loss rates between group A and B was not statistically significant. Only group C showed statistically higher axonal loss rates in all branches. Conclusion : The study results showed that the patients who had delayed Korean medical treatments had a higher level of facial nerve damage by electromyography. According to the results of this study, early application of integrative Korean medical treatment is suggested.

Keywords

References

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