简介：ANewTechniqueThatStimulatesKeyNerveCellsintheSpinalCordOffersHopeforPatients,ScientistsSayInapotentialbreakthroughforthetreatmentofspinal-cordinjuries,amanparalyzedbelowthechesthasregained

简介：<正>Thefacialnervepassesthroughthetemporalboneandisthelongestnervethattravelsinabonycanalwithacomplexcourseandhighsusceptibilitytoinjury.Whenfacialnervebecomesswollenfrominsultssuchastrauma,inflammation,tumororiatrogenicinjury,itsdistal

简介：目的：观察针剌双侧穴位治疗中风后偏瘫的临床效果，浅析其作用机理。方法：取41例患者采用双侧取穴针剌为治疗组：设40例患者取惠侧穴位针刺为对照组。结果：经3个疗程治疗，中风后偏瘫改善．治疗组明显优于对照组结论：针刺双侧穴位可增强疗效。

简介：Inordertoprovidethebasisforparameterselectionofvocaldiseasesclassification,anonlineardynamicmodelingmethodisproposed.Abiomechanicalmodelofvocalcordswithpolyporparalysis,whichcouplestoglottalairflowtoproducelaryngealsoundsource,isintroduced.Andthenthefundamentalfrequencyanditsperturbationparametersaresolved.Poincaresectionandbifurcationdiagramareappliedtononlinearanalysisofmodelvibration.Bychangingthepathologicalparametersorsubglottalpressure,thechangesoffundamentalfrequencyandLyapunovexponentsareanalyzed.Thesimulationresultsshowthat,vocalcordparalysisreducesthefundamentalfrequency,andthechaosoccursonlywithinacertainpressurerange;whilevocalcordwithapolypdon’treducethefundamentalfrequency,chaosdistributesthroughouttheentirerangeofpressure.Thereforethisstudyishelpfulforclassificationofpolypandparalysisbytheacousticdiagnoses.

简介：Aim:Toexaminethetherapeuticeffectofacupunctureinthetreatmentofwithpseudobularparalysispatients.Methods:PseudobularparalysiswasconfirmedbyCTscanningexamination.Relevanttreatmentswereadministeredaftersyndromedifferentiation.Acupoints:Fengchi(GB20),Fengfu(GV16)andTaichong(LR3)werepuncturedandstimulatedwithuniformreinforcing-reducingmethodforsubduingtheliver-yangandeliminatingwind.UpperLianquan(RN23)andFenglong(ST40)werepuncturedandstimulatedbyreducingmethodforresolvingphlegmtoclearawayobstructioninthechannels.AcupointZusanli(ST36)wasadministeredwithreinforcingmethodtotonifyqi.Atreatmentcoursecomprisedof10sessions,with1to2days'internalbetweentwocourses.Eachcasereceivedatotalof20treatmentsessions.AcupointonthenechsuchasFengchi(GB20)wasadministeredwithretainingtheneedleinthesittingpositionfor10minutes.Results:Atotalof14caseswereobserved.After2coursesoftreatment,12cases(86%)werecured,onecase(7%)hadimprovementandtherestonehadnoapparentchanges.13cases(93%)hadtheirnagogastricfeedingtubesremoved.Conclusions:Ourexperienceshowedthatacupuncturetreatmentforpseudobularparalysistypeapoplexywassatisfactoryinthetherapeuticeffect.

简介：Facialparalysiscanbeclassifiedascentralorperipheralfacialparalysisbasedonthelocationoftheunderlyinglesion,bothofwhichdemonstratefacialmotordysfunction.Inthecurrentlyreport,apatientadmittedtothedepartmentofotology,FirstPeople’sHospitalofQinhuangdao,presentedwithfacialasymmetryastheinitialsymptomofacerebralinfarctionandwasfirstmisdiagnosedasperipheralfacialparalysis.Thecaseisreportedasfollows.

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简介：ObjectiveToevaluateefficacyofsurgicaltreatmentintraumaticfacialparalysis.Methods:Thirty-threecaseswerereviewed,includingtemporalbonefractureandiatrogenicfacialnerveinjury.Allthepatientsweretreatedwithvarioussurgicalmethodsaccordingtotheirpathogeny.ResultsThemeanpercentagefacialfunctionimprovement(House-BrackmannGradeⅠ-Ⅱ)was86%intemporalbonefractureandfunctionwasimprovedafterproperoperationtoiatrogenicfacialnerveinjury.ConclusionsPatientswithtraumaticfacialparalysisreceiveprovedoutcomesitreaedwithpropersurgicalmethodsaccordingtotheirparticularconditionofnerveinjury.

简介：目的：研究针刺对中风偏瘫痉挛状态的影响。方法：采用修改的Ashworth痉挛评定级、Brunnstrom分级、Barthel日常生活能力（ActivitiesofDailyLiving，ADL）指数分别评定痉挛程度、运动功能水平、日常生活能力，观察头针、体针联合应用对中风后偏瘫患者痉挛状态的影响。结果：头针、体针联合应用对痉挛状态的改善，对运动功能水平及日常生活能力的影响均优于单纯体针治疗（P〈0．01）。结论：头针、体针联合应用在改善痉挛状态方面有独特的优势，可提高患者的运动功能水平及日常生活能力。

简介：Peripheralfacialparalysisisacommondiseasewithmanifestationoffacialparalysis.Theauthor'sclinicalobservationon50casesoffacialparalysistreatedmainlywithacupunctureshowedaneffectiverateof98%,andtheremarkableeffectivenesswasreportedasfollows.50casesofoutpatientswhichconsistedof14malesand36femaleswereobserved.Theoldestwas61yearsandtheyoungest24years,withanaverageageof36years.33caseshadfacialparalysisontherightsideandother17casesontheleftside.Theshortestdurationwasonedayandthelongest19months.Treatmentwasdoneonceeveryotherdayandacoursecomprisedoftentreatments.Mainacupoints:Chengqi(ST1),Sibai(ST2),Juliao(ST3),Dicang(ST4),Jiache(ST6),Xiaguan(ST7),Sizhukong(TE23),andHegu(LI4),etc.werealladoptedineverytreatement.ComplementaryacupointswereYingxiang(Li20),Cuanzhou(BL2),Yangbai(GB14),andChengjiang(CV24).Methods:Gauge28filiformneedles(1cunatlength)wereused.Intheneedlingprocess,manipulationsofevenreinforcingandreducingincombinationwithlifting-thrustingandtwirling-rotatingwereabopted.Theneedlingsensationwasmadetoincreaseonlywithinthepatient'sbearablethresholdandtheneedleswerewithdrawnimmediatelyfollowingmanipulatingtheneedlesforawhile(about3min).Shallowinsertionofacupunctureneedleswascarriedoutthroughoutthewholetreatmentprocess.Criteriaofthetherapeuticeffect:Cure:Theclinicalsynptomsdisappearedompletelyaftertreatment(facialmusclewasnormal).Effective:Somesymptomswereimprovedbutfacialexpressionwasstillslay.Noeffect:Symptomsremainedthesameafterthetherapy.Results:80%ofthe50cases,namely27caseswithleftfacialparalysisand13caseswithrightsidefacialparalysis,werecured.7cases(14%)showedsignificantimprovement,2cases(4%)effectiveness,and1case(2%)noeffect,thusthetotaleffectiveratewas98%.Conclusion:Patientswithshorterdurationofdisease(withinamonth)hadhigherrecoveringratethanthos

简介：ThehulbarparalysisofupperrnotorneuronsisacommonseniIedisease.lnrecentycars.weselectLianquan(CV23)asachiefpointincomhinationwithJinjin(EX-HNl2).Yuye(FX-HN13)andZhaohai(KI6)andemployuniformreinforcing-reducingmanipuIationtotreat280patients.Theresultsshowthatatotaleffectivcrateis55.71％.Thepossiblemechanismsaredis-cussedpreliminarilyinthcpresentpaper.

简介：Objective:Totrytogiveanobjectiveevaluationontheclinicalresearchsituationaboutacupuncturetreatmentoffacialparalysisinthepast50yearsandtrytoprovideapossibleevidenceforclinicalpractice.Methods:Allpapersaresearchedandassessedaccordingtotheinternationalstandardsandclinicalepidemiology.Results:Thereisnosystematicreview(SR)onacupuncturetreatmentoffacialpalsyinatotalof1021articlesenlistedinthepresentpaper.Comparingwiththequantityofthedescriptivestudiesandexpertopinions(constituting84.84%),thatoftherandomizedcontrolledtrials(RCTs)andclinicalcontrolledtrials(CCTs)issmaller(constituting15.16%),be-sides,thequalityofRCTsandCCTsisunsatisfactory.Conclusion:Atpresent,thequantityandqualityofstudieswithRCTsaboutacupuncturetreatmentoffacialparalysiscan'tmeettheneedofclinicalpractice,andinordertoimprovethetherapeuticeffect,ahigherqualityofRCTsandSRisrequired.

简介：A46-year-oldmanexperiencedseverelancinatingpaininthethroatthatradiatedtotheleftear.Thepain,whichwasexacerbatedbyswallowingorcoughing,hadlastedfor2years.Thefindingsofthepatient'sneurologicalexaminationwerenormal.Computedtomographicandmagneticresonanceimagingscansofthebrainandnasopharynxdidnotshowanyabnormality.Adiagnosisofidiopathicvagoglossopharyngealneuralgiawasmade.Insurgery,boththeglossopharyngealandtheramicommunicansbetweenthevagalandgrssopharyngealnervesweresectioned.Thepatientwasfreeofpainfollowingthesurgery,butcomplainedofhoarsenessinvoice.Examinationshowedparalyzedleftvocalcordataparamedianposition.Inthe12monthsfollowingthesurgery,thehoarsenesshasgraduallyimprovedandeventuallydisappeared.

简介：AbstractPurpose:Determine the impact of upper eyelid weight placement at 3 months post onset of idiopathic facial paralysis (IFP) on the recovery of facial function in patients with lagophthalmos.Methods:This is a retrospective review of patients with incomplete recovery of IFP—defined as a Sunnybrook Facial Grading Scale (FGS) score of less than 100, 3 months after onset. Only patients with FGS and Facial Clinimetric Evaluation (FaCE) scores recorded at 3 and 12 months were included. Patients were categorized into 3 groups: Group A, lagophthalmos with eyelid weight placement; Group B, lagophthalmos without eyelid weight placement; Group C, complete eye closure (CEC) without eyelid weight placement. The eye comfort domain and composite score of the FaCE questionnaire were analyzed. Voluntary eye closure, synkinesis with eye closure, overall synkinesis and the composite score of the FGS were also analyzed. Paired two-tailed t-test was used to evaluate the data comparing the 3 and 12 month FaCE and FGS scores within and between the 3 groups.Results:The change in composite FGS score significantly increased from month 3 to month 12 in Group A as compared to Group B (37 vs 4.25, P = 0.01). While Group A had significantly lower eye comfort (-12.5, P = 0.01), voluntary eye closure (-1.75, P = 0.05) and overall FGS scores (-28.75, P = 0.04) at 3 months compared to those in Group C, there were no differences between these two groups at 12 month follow-up.Conclusions:For patients with lagophthalmos at 3 months, early eyelid weight placement may lead to improved facial function at 12 months.

简介：Inthepresentpaper,thetherapeuticeffectsofotopoint-pellet-pressingplusbodyacupunctureandsimplebodyacupuncturefordysphagiaandwater-drinkinginducedcoughingarecomparedin126casesofpseudobulbarparalysiswhoarerandomlydividedintotreatmentgroup(n=63)andcontrolgroup(n=63).MainacupointsusedareShuigou(GV26),Fengchi(GB20),Lianquan(CV23)andSanyinjiao(SP6),whileotopointsusedareXin(MAIC),Gan(MA-SC5),Pi(MA-IC),Shen(MA-SC),Yanhou(MA-T3)andShe(MA-L).Followingonecourseoftreatment(12sessions),intreatmentgroup,ofthe63cases,34(54.0%)arecured,18(28.5%)haveremarkableimprovement,5(8.0%)haveimprovement,and6(9.0%)havenoapparentchanges,withthetottaleffectiveratebeing90.5%;whileincontrolgroup,ofthe63cases,18(28.5%)arecured,11(17.5%)havemarkedamelioration,15(24.0%)experienceapparentameliorationand19(30.0%)havenoobviouschanges,withatotaleffectiverateof70.0%.Thetherapeuticeffectofotopoint-pellet-pressingplusbodyacupunctureissignificantlysuperiortothatofsimplebodyacupunctureinthetreatmentofdysphagiaandwater-drinkinginducedcoughing.

简介：Facialparalysisisacommonlyencountereddiseaseintheclinic.ItisknowninWesternmedicineasBell'sparalysisandintraditionalChinesemedicine(TCM)asdeviationoftheeyeandmouth.Currently,thereareavarietyoftherapiesfortreatingfacialparalysisbothinTCMandWesternmedicine,eachtherapyhasitsadvantages.Inrecenttwoyearstheauthorhastriedacupointinjectiontherapyfortreatmentof82casesofperipheryfacialparalysis(attributedtowind-coldpattern)andachievedagoodtherapeuticeffect.Hereisthereport.

简介：AbstractSince December 2019, COVID-19, an acute infectious disease, has gradually become a global threat. We report a case of thoracolumbar fractures (T12 and L1) and incomplete lower limb paralysis in a patient with COVID-19. After a series of conservative treatment which did not work at all, posterior open reduction and pedicle screw internal fixation of the thoracolumbar fracture were performed in Wuhan Union Hospital. Three weeks later, the patient could stand up and the pneumonia is almost cured. We successfully performed a surgery in a COVID-19 patient, and to our knowledge it is the first operation for a COVID-19 patient ever reported.

简介：ObjectiveToinvestigatetheclinicaloutcomesoffacialneverdecompressionviaacombinedsubtemporal-supralabyrinthineapproachtogeniculateganglionformanagementoffacialparalysisintemporalbonefracture.MethodsEighteenpatientswithunilateralfacialparesisduetotemporalbonefractureweretreatedbetweenMarch2003andMarch2011.FacialfunctionwasHouse-Brackmann(HB)gradeⅢin6patients,HBgradeⅤin9patientsandHBgradeⅥin3patients.Thepreoperativemeanairconductionthresholdwas52dBHLforthe15caseswithlongitudinaltemporalbonefractureandshowedseveresensorineuralhearinglossinthe3caseswithtransversetemporalbonefracture.Fracturelinesweredetectedin15casesontemporalboneaxialCTscansandossiculardisruptionwasdeterminedin11casesbyvirtualCTendoscopy.Thegeniculateganglionorthetympanicmastoidsegmentofthefacialnerveshowedanirregularmorphologyoncurvedplanarreformationimagesofthefacialnervecanal.Afteranintactcanalwallmastoido-epitympanectomy,theossicularchaindamagewasevaluated.Iftheossicularchainwasintact,thesupralabyrinthinerecesswasopenedbydrillingthroughthecellsbetweenthetegmentympaniandossicularchain.Iftheossicularchainwasdisrupted,theincuswasremovedtoaccessthesupralabyrinthinerecess.Thegeniculateganglionandthedistallabyrinthinesegmentofthefacialnervewereexposed.Aftercompletingfacialnervedecompression,thedislocatedincuswasreplaced,orafracturedincuswasreshapedtobridgethespacebetweenthemalleusandthestapes.ResultsPronouncedgangliongeniculatumswellingwasfoundin15casesoflongitudinaltemporalbonefracture,withgreaterpetrosusnervesdamagein3casesandbleedingin5cases.Disruptedossicularchainswereseenin11cases,includingdislocatedincusresultingincrushingofthehorizontalportionofthefacialnervein3casesandfractureoftheincuslongprocessin1case.In3casesoftransversefractures,

简介：【摘要】动眼神经麻痹是一种常见疾病，近年研究证实针灸治疗动眼神经麻痹疗效确切。文章就本病介绍近期中医治疗动眼神经麻痹各种方法。目前单纯针刺疗法体系较为成熟，多位医家通过对经典的研究，将治疗理念融入针刺方法中，形成了临床上常用的针刺疗法，如维筋相交针刺法、荣养经筋针刺法和醒脑开窍针刺法，除外还有电针、穴位注射等方法。皆体现了中医治疗动眼神经麻痹的特色与优势，并提出了中医治疗动眼神经麻痹的相关文献仍有缺乏统一疗效指标和相关机理阐述的问题。