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한·양방 협진 입원치료가 벨 마비 예후에 미치는 효과 : 후향적 연구

Effectiveness of East-West collaborative hospital treatment on the prognosis of Bell's palsy : A retrospective study

  • 석경환 (경희대학교 한의과대학 침구의학교실) ;
  • 이주현 (경희대학교 한의과대학 침구의학교실) ;
  • 류수형 (경희대학교 한의과대학 침구의학교실) ;
  • 이수연 (경희대학교 한의과대학 침구의학교실) ;
  • 김홍국 (경희대학교 한의과대학 침구의학교실) ;
  • 유덕우 (경희대학교 한의과대학 침구의학교실) ;
  • 구본혁 (경희대학교 한의과대학 침구의학교실) ;
  • 김민정 (경희대학교 한의과대학 침구의학교실) ;
  • 박연철 (경희대학교 한의과대학 침구의학교실) ;
  • 서병관 (경희대학교 한의과대학 침구의학교실) ;
  • 백용현 (경희대학교 한의과대학 침구의학교실)
  • Suk, Kyung Hwan (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Ju Hyeon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Ryu, Soo Hyeong (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Su Yeon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Hong Guk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Ryoo, Dek Woo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Goo, Bon Hyuk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Min Jeong (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Park, Yeon Cheol (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Seo, Byung Kwan (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Baek, Yong Hyeon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University)
  • 투고 : 2015.11.10
  • 심사 : 2015.12.04
  • 발행 : 2015.12.18

초록

Objectives : This study was performed to confirm the effectiveness of East-West collaborative hospital treatment on the prognosis of Bell's palsy. Methods : We screened patients who visited the Facial Palsy Center in Kyung Hee University Korean Medicine Hospital at Gangdong between June 2006 and June 2014 by inclusion/exclusion criteria. We reviewed the medical records of 270 patients, including demographics and results of electromyography. We tried to compare the recovery rate of Bell's palsy in the medical records with that of the previous study by calculating the odds ratio after 2, 3 and 6 months from the onset. Results : The odds ratio between our data and that from the previous study after 6 months from the onset was 4.899. Additionally, the odds ratios after 2 and 3 months from the onset were 1.471 and 2.054, respectively. All the odds ratios showed statistical significance. Conclusions : East-West collaborative hospital treatment showed significant effectiveness on the prognosis of Bell's palsy.

키워드

참고문헌

  1. Korean Acupuncture & Moxibustion Medicine Society. Acupuncture and Moxibustion. Gyeonggi: Jipmoondang. 2008 : 186-90.
  2. Finsterer J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol. 2008 ; 265(7) : 743-52. https://doi.org/10.1007/s00405-008-0646-4
  3. Peitersen E. Bell'spalsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol. 2002 ; 122(7) : 4-30. https://doi.org/10.1080/000164802320401694
  4. Yamamoto E, Nishimura H, Hirono Y. Occurrence of sequelae in Bell's palsy. Acta Otolaryngol. 1987 ; 104 Suppl 446 : S93-6.
  5. Valls-Sole J. Facial palsy, postparalytic facial syndrome, and hemifacial spasm. Mov Disord. 2002 ; 17 Suppl 2 : S49-52.
  6. Hato N, Yamada H, Kohno H et al. Valacyclovir and prednisolone treatment for Bell's palsy: a multicenter, randomized, placebo - controlled study. Otol Neurotol. 2007 ; 28(3) : 408-13. https://doi.org/10.1097/01.mao.0000265190.29969.12
  7. Kwon NH, Shin YJ, Kim CY et al. Comparative Clinical Study between Oriental Medical and Oriental - Western Medical Treatment on Bell's Palsy. The Acupuncture. 2008 ; 25(3) : 19-28.
  8. Park IB, Kim SW, Lee CW et al. Comparative Clinical Study between Oriental Medicine and Oriental - Western Medicine Treatment on Bell's palsy. The Acupuncture. 2004 ; 21(5) : 191-203.
  9. Kim JH, Song JJ, Hong SU. A clinical study of oriental-western medicine treatment on facial nerve paralysis. J Korean Med Ophthalmol Otolaryngol Dermatol. 2009 ; 22(1) : 148-56.
  10. Slavkin HC. The significance of a human smile: observations on Bell's palsy. J Am Dent Assoc. 1999 ; 130(2) : 269-72. https://doi.org/10.14219/jada.archive.1999.0178
  11. Heo J. Donguibogam. Seoul : Bubin Publishers. 2005 : 688-9.
  12. De R JA, Brennan PA, Martens E. Antiviral agents convey added benefit over steroids alone in Bell' s palsy; decompression should be considered in patients who are not covering. J Laryngol Otol. 2015 ; 129(4) : 300-6. https://doi.org/10.1017/S0022215115000341
  13. Lee JW, Kwon SA, Kin MJ et al. A Study of Facial Palsy Sequelae and Evaluating Scale. The Acupuncture. 2011 ; 28(2) : 75-87.
  14. Chung JH, Lee SK, Kim SH, Yeo SG, Park MS, Byun JY. Neurotological parameters and prognosis of Bell's palsy patients. Audiol Neurootol. 2015 ; 20(2) : 117-21. https://doi.org/10.1159/000369609
  15. Lee HY, Byun JY, Park MS, Yeo SG. Steroid - antiviral treatment improves the recovery rate in patietns with severe Bell's palsy. Am J Med. 2013 ; 126(4) : 336-41. https://doi.org/10.1016/j.amjmed.2012.08.020
  16. Byun H, Cho YS, Jang JY et al. Value of electroneurography as a prognostic indicator for recovery in acute severe inflammatory facial paralysis: a prospective study of Bell's palsy and Ramsay Hunt syndrome. Laryngoscope. 2013 ; 123(10) : 2526-32. https://doi.org/10.1002/lary.23988

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  3. 한양방 협진치료를 받은 치매와 경도인지장애 환자에 대한 후향적 의무기록 분석 vol.29, pp.2, 2015, https://doi.org/10.7231/jon.2018.29.2.111