• 제목/요약/키워드: Bell Palsy

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급성기 안면마비 (Bell's palsy) 환자의 예후 및 치료율에 대한 임상고찰 80례 (The Clinical observation of acute Bell's palsy 80 Case)

  • 원재선;주경옥;조아름;김지현;김창환
    • 한방안이비인후피부과학회지
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    • 제23권2호
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    • pp.151-162
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    • 2010
  • Objective : Bell's palsy is common and has many clinic study. but bell's palsy prognosis is not enough specific. So this study was evaluated bell's palsy prognosis, treatment number, sequela of normal group and bad prognosis group. Methods : From June 2009 to June 2010, patients who visited Dong-seo Oriental Medicine ENT. A clinic study was done on patient who were diagnosed bell's palsy, onset 2weeks within when first visited OPD and treated 3 times over in Dong-seo Oriental Medicine Cental. To evaluate grade of paralysis, House-Brackman Scale was used. We classified treatment numbers of each HB-Scale group, normal gIVroup and bad prognosis group. Results : The distribution of Onset HB-Scale : Gr II 26.25%, Gr III 67.5%, Gr IV 6.25% Onset HB-Scale Gr II patients completely recover 100% Onset HB-Scale Gr III patients completely recover 64.8%, improved 27.8%, nothing change 7.4% Onset HB-Scale Gr IV patients completely recover 40%, improved 60% Onset HB-Scale Gr II & IV patients recovery percentage make no difference of normal group (Group A) and bad prognosis. Onset HB-Scale Gr III patients completely recover Group A 66.7%, Group B 52.9%, improved Group A 23.2%, Group 35.3%, noting change Group A 5.1%, Group B 11.8% Onset HB-Scale Gr II patients has no sequela. Onset HB-Scale Gr III & IV patients has tendency that they treat more times, more improving and less sequela probability Conclusion : Onset HB-Scale is the indicator of acute bell's palsy prognosis.

Clinical Review of Pharmacopuncture Therapy Based on the Progression of Bell's Palsy

  • Lee, You Jung;Choi, Yeon Ah;Min, Ryu Soo;Lee, Seung Min;Lee, Eun Yong;Lee, Cham Kyul;Jo, Na Young;Roh, Jeong Du
    • Journal of Acupuncture Research
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    • 제38권3호
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    • pp.236-241
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    • 2021
  • There were 26 Bell's palsy cases at the Jecheon Hospital of Korean medicine, Semyung University from February 1, 2019, to February 28, 2021 reviewed. One group (A group) was treated with Bamboo salt pharmacopuncture and cervi cornu parvum pharmacopuncture (CC) pharmacopuncture in the paralyzed side of the face, and the other (B group) group was treated with Soyum pharmacopuncture, and hominis placenta (HP) pharmacopuncture. Amid a paucity of studies that have used bamboo salt and CC pharmacopuncture to treat Bell's palsy, this study aimed to demonstrate possibility of treatment effect on Bell's palsy. In addition, this study was to see if the effect of determine a change in pharmacopuncture was changed according to the progress of Bell's palsy symptoms was effective. Bell's palsy was improved in each group. Altough there were no significant differences in improvement between two groups, Bamboo salt pharmacopuncture and CC pharmacopuncture could be expected to be effective on the paralyzed face. Furthermore, it is effective to switch pharmacopuncture according to the progress of Bell's palsy.

불안 및 우울이 급성기 벨마비 환자의 안면근 운동기능 회복에 미치는 영향 (A Study of Psychological Distress, Anxiety and Depression on Motor Recovery of Acute Bell's Palsy Patients' Facial Muscle)

  • 김은석;이상훈;남상수;김용석
    • Journal of Acupuncture Research
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    • 제31권1호
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    • pp.149-158
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    • 2014
  • Objectives : The aim of this study is to investigate the influence of anxiety and depression on motor recovery of acute Bell's palsy to estimate how much psychological factors affect the clinical prognosis. Methods : A total of 20 inpatients with acute unilateral Bell's palsy within 1 week of onset participated in this study. The severity of participants' facial palsy was measured by Yanagihara(Y-system) score, FDI and House-Brackmann scale at the time of 1 week and 3 weeks from the onset. The motor recovery of acute Bell's palsy is defined as ${\Delta}Y$-system during 2 weeks. Beck anxiety scale(BAI) and the center for epidermiologic studies depression scale(CES-D) were adopted to assess anxiety and depression, respectively. Correlation analysis and linear regression analysis were conducted between ${\Delta}Y$-system and prognostic factors including anxiety and depression. Results : Significant associations were found between ${\Delta}Y$-system and depression(CES-D) but no significant associations were found between ${\Delta}Y$-system and other prognostic factors, hypertension, diabetes, postauricular pain, disgeusia, age, degree of initial palsy and anxiety(BAI). And a regression equation with 0.295 for coefficient of determination was obtained. Through this analysis, the ${\Delta}Y$-system can be predicted using regression equation which cover 29.5 % of depression index(CES-D). Conclusion : Depression is a significant clinical prognostic factor on motor recovery of acute Bell's palsy. So, Bell's palsy treatment should be combined with psychological care and support.

Bell's palsy 환자에서 두면부 경혈의 적외선 체열촬영의 활용 (Study on the Application of DITI in Bell's Palsy Patients with Acupoints)

  • 김회권;김동민;하선윤;남상수;김용석
    • 대한한방체열의학회지
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    • 제6권1호
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    • pp.16-22
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    • 2008
  • Objective: The aims of this study are to find out proper methods to assess Bell's palsy with DITI and to validate the correlation between DITI of acupoints and H-B scale. Methods: 36 Bell's palsy patients and 10 health people were measured. We checked thermal differences between abnormal and normal acupoints sites measured by using DITI and H-B scale. Results: There was no significant thermal difference between abnormal and normal sites. The H-B scale was significantly correlated with thermal differences of ST6 and TE17. Conclusion: DITI was useful for evaluating the severity of Bell's palsy.

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Bell's Palsy 환자에서 두면부 경혈의 적외선 체열촬영의 활용 (Study on the Application of DITI in Bell's Palsy Patients with Acupoints)

  • 김회권;김동민;하선윤;고형균;남상수;김용석
    • Journal of Acupuncture Research
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    • 제24권6호
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    • pp.105-111
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    • 2007
  • Objectives : The aims of this study are to find out proper methods to assess Bell's palsy with DITI and to validate the correlation between DITI of acupoints and the H-B scale. Methods : 36 Bell's palsy patients and 10 healthy people were measured. We checked thermal differences between abnormal and normal acupoint sites measured by using DITI and the H-B scale. Results : There was no significant thermal difference between abnormal and normal sites. The H-B scale was significantly correlated with thermal differences between $ST_6$ and $TE_{17}$. Conclusions : DITI was useful for evaluating the severity of Bell's palsy.

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산욕 초기에 발생한 벨마비 치험 1례 (A Case Report of Bell’s Palsy during Early Puerperium)

  • 윤수현;이지연;이인선;조혜숙;전수형;정종훈
    • 대한한방부인과학회지
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    • 제28권4호
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    • pp.77-87
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    • 2015
  • Objectives : The purpose of this study is to report the effect of traditional Korean medicine therapy on Bell’s palsy during early puerperium. Methods : The patient who had Bell’s palsy during early puerperium were treated with traditional Korean medicine such as Gunggwijohyeol-eum, Saenghwa-tang, Gunggwijohyeol-eumhabBulsu-san and Sasang constitution medicine. The progresses of symptoms were evaluated by House-Brackmann facial nerve grading system and Numeric Rating System (NRS). Results : After treatment, the patient’s symptoms of Bell’s palsy and puerperium were improved. Conclusions : This case study shows that the postpartum care in traditional Korean medicine therapy and Sasang constitution medicine is effective for the patient who had Bell’s palsy during early puerperium.

자하거약침(紫河車藥鍼)의 Bell's palsy에 대한 치험보고(治驗報告) (The Effect of Hominis Placenta Herbal Acupuncture on Bell's palsy)

  • 윤정훈;육태한;송범룡
    • 대한약침학회지
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    • 제3권1호
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    • pp.89-99
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    • 2000
  • This report was done to observe the effect of Hominis placenta herbal acupuncture on Bell's palsy. The study group comprised 16 patients who arrived at Woo-suk university oriental hospital from January, 1999 till January, 2000 for Bell's palsy. All patients were divided into two group. One was herbal acupunture group, and the other was control group. Acupunture group was done herbal acupuncture therapy on the facial acupuncture points. Followings are achievement and a term of each group. In herbal acupuncture group, 100% motor recovery was 7 case, 75% was 1 case, and 25% motor recovery term was $7.38{\pm}5.21$ days, 50% was $11.00{\pm}6.16$ days, 75% was $15.13{\pm}9.55$ days, 100% was $23.14{\pm}7.97$ days. In control group, 100% motor recovery was 4 case, 75% was 2 case, 25% below was 2 case and 25% motor recovery term was $11.17{\pm}4.96$days, 50% was $18.17{\pm}6.82$ days, 75% was $29.50{\pm}6.95$ days, 100% was $44.00{\pm}11.49$ days. The above results indicate that Hominis placenta herbal acupuncture is a useful effect on Bell's palsy. thus, continuous herbal acupunture study will be needed for more clinical application on Bell' palsy.

임신중 발생한 구안와사 환자 2례에 대한 임상보고 (2 Cases Report of the Bell's Palsy Occurred during Pregnancy)

  • 신선미;임현정;이정은;유동열
    • 대한한방부인과학회지
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    • 제21권4호
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    • pp.258-268
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    • 2008
  • Purpose: The purpose of this study is to report the effect of oriental treatment to Bell's palsy occurred during pregnancy. Methods: We treated 28 year old woman and 31 year old woman who had the Bell's palsy occurred during pregnancy. 2 patients were treated with oriental treatment such as herb medicine and acupuncture therapy. The effects of these treatment was evaluated by Yanagihara's unweighted grading system. Results: As a result, symptoms were remarkably alleviated and Yanagihara score was improved. Conclusion: According to this result, we concluded the oriental treatment could improve pregnant Bell's palsy patient. After this paper, further study and clinical approach based on oriental treatment will be needed about pregnant Bell's palsy patient.

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사상방을 활용한 임신 중 구안괘사(口眼喎斜) 치험 4례 (Four Cases of Bell's Palsy Patients during Pregnancy Treated with Sasang Constitutional Medicine)

  • 최유정;전수형;이인선
    • 대한한방부인과학회지
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    • 제27권1호
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    • pp.193-205
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    • 2014
  • Purpose: This study was aimed to report the effect of oriental treatment on Bell's palsy during pregnancy with Sasang Constitutional method. Methods: 4 patients who had Bell's palsy during pregnancy were treated with Sasang constitutional prescriptions. After treatments we evaluated the effects by House-Brackmann facial nerve grading system. Results: As a result, the clinical symptoms of Bell's palsy during pregnancy were improved. Conclusions: This case studies show that Sasang constitutional method can be effectively used on Bell's palsy during pregnancy. Especially the diagnostic results by using Diagnosis System of Oriental Medicine (DSOM) revealed that some of patients were in a very weak condition. We could apply these results to choose prescription and get good therapeutic effects.

Bell's palsy 후유증 중 facial synkinesis에 관한 최근 논문 경향 분석 - Pubmed 중심으로 - (Reviewing Recent Research on Facial Synkinesis of Bell's Palsy Sequelae - Pubmed Research -)

  • 이동진;황보민;권강;서형식
    • 한방안이비인후피부과학회지
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    • 제25권4호
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    • pp.1-11
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    • 2012
  • Objective : The purpose of this study is to analyze research trends on facial synkinesis after bell's palsy in order to build stepping stone in the hope of further related study in Korean medicine society. Methods : We searched Pubmed with the title "facial synkinesis" only developed after bell's palsy for the last 10 years and analyzed their impact factors, interventions, types of study, published countries, journals and years. Results : We found 12 papers and interventions included in each studies turned out to be effective and showed meaningful outcomes, but, the number of papers is still inadequate though, constantly published annually. And we were unable to find any studies with oriental treatments. Conclusions : Further attention and studies are needed on this topic in Korean medicine society in order to search appropriate oriental clinical care for the bell's palsy patients suffering facial synkinesis.