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KMID : 0615720040210030043
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Jouranl of Korean Acupuncture and Moxibustion society
2004 Volume.21 No. 3 p.43 ~ p.59
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A Clinical Study About Factors to Have an Influence on the Prognosis of Bell`s Palsy
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최석우
육태한/송범룡
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Abstract
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Objective : In Modern society, patients with facial nerve paralysis are increasing because of many factors - irregular life, cold, overwork and stress etc. We have troubles in presuming the prognosis, though how to diagnosis and examine facial nerve paralysis are many. Methods : A clinical study was done on 89 patients who were diagnosed and treated as facial nerve paralysis(Bell's palsy) from January 2001 to May 2003 at the Dep. of Acupuncture and Moxibustion, college of Oriental Medicine, Woo-suk University. We classified 89 patients as the Sasang(四象) constitution, contributing factor, season, age and existence of diabetes items and analyzed, as we would research differences of changing point-Period from on set of Bell's palsy to the day which the change begins to be seen at the face- and improvement -Period which Bell's palsy is improved from on set to H-B grade II. Results : 1. Among the Sasang constitution, Soeumin(10.67±3.77days) were faster than other constitutions, but Soyangin(16.25±6.75days) were slower than other constitutions in changing point. Taeumin(4.12±1.49weeks) were shorter than other constitutions, but Soyangin(4.88±2.11weeks) were longer than other constitutions in improvement. 2. Among contributing factors, overwork and stress group were slower than other contributing factors in changing point(13.95±6.52days), and longer than others in improvement(4.67±1.87weeks). 3. Changing point and improvement of season, age, and existence of diabetes had the difference of the average according to an each item, but they were not statistically significant. 4. In 89 patients with Bell's palsy, average changing-point was 13.11±5.99(days) and average improvement was 4.47±1.82(weeks). Their correlation was 0.687 and statistically significance(P<0.01), therefore we could decide that their relation is highly correlation.
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KEYWORD
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Facial nerve paralysis, Bell`s palsy, Prognosis and Correlation
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