针灸结合中药治疗外耳道疱疹三联症 1 例

##plugins.themes.bootstrap3.article.main##

黄 美清
温 珍慧

摘要

患者女性,42 岁,在华侨中医院接受治疗,右耳部疼痛有水泡 1 周。患者被诊断为外耳道疱疹三联症,是由于感染水痘-带状疱疹病毒引起的第七颅神经炎症。该疾病的发病率较低,但导致永久性面瘫或永久性耳聋的并发症风险。患者就诊时临床表现为右侧眼闭不合,口角歪斜。皱眉、皱鼻不能、言语不清、耳鸣,面瘫程度为 6 级,通过针灸结合中药治疗 2 个月后,疗效明显改善。右侧面部肌肉瘫痪恢复正常。眼睛完全闭上,皱眉正常。语言和味觉正常。耳部疼痛和水泡消失。耳鸣声音较低。无发生带状疱疹后神经痛。

##plugins.themes.bootstrap3.article.details##

栏目
特殊文章

参考

Laosuksri W. What diagnosis would you consider most likely in this case? Thai Journal of Emergency Medicine. 2022;4(1):85-9. (in Thai)

Murakami S, Hato N, Horiuchi J, Honda N, Gyo K, Yanagihara N. Treatment of Ramsay Hunt syndrome with acyclovir-prednisone: significance of early diagnosis and treatment. Ann Neurol. 1997;41(3):353-7.

Chen LK, Arai H, Chen LY, Chou MY, Djauzi S, Dong B, et al. Looking back to move forward: a twenty-year audit of herpes zoster in Asia-Pacific. BMC Infect Dis. 2017;17(1):213.

Tiemstra JD, Khatkhate N. Bell's palsy: diagnosis and management. Am Fam Physician. 2007;76(7):997-1002.

Thongngam S. Herpes zoster patients: usable evidence-based management of care. Thai Red Cross Nursing Journal. 2021;14(1):31-9. (in Thai)

Stew B, Williams H. Modern management of facial palsy: a review of current Literature. British Journal of General Practice. 2013;63(607):109-10.

Kaye AD, Garcia AJ, Hall OM, Jeha GM, Cramer KD, Granier AL, et al. Update on the pharmacogenomics of pain management. Pharmgenomics Pers Med. 2019;12:125-43.

Montague SJ, Morton AR. Ramsay Hunt syndrome. CMAJ. 2017;189(8):E320.

Nakamura Y, Matsumoto H. Case of atypical Ramsay-Hunt syndrome who presented with severe vertigo and vomiting. No To Hattatsu. 2012;44(1):66-8. (in Japanese)

Zuo YP, Xie H. Research progress on traditional Chinese medicine in the treatment of Ramsay-Hunt syndrome. Basic Traditional Chinese Medicine. 2023;2(9):116-21. (in Chinese)

Meng CB, Yang T, Liao Q, Zhang XY, Deng GL, An YB. Clinical effect of acupuncture combined with external application of zhongyi paste for herpes zoster oticus with peripheral facial paralysis. Hebei Journal of Traditional Chinese Medicine. 2021;43(12):2056-9. (in Chinese)

Pinar E, İmre A, Olgun Y, Ece AA, Songu M, Aslan H. Combined treatment in Ramsay Hunt syndrome: evaluation of clinic and prognosis. Journal of Medical Updates. 2014;4(3):110-2.

Tu Q, Liu XJ. Clinical effect of integration of traditional Chinese and Western medicine on treating Ramsay Hunt syndrome. China Modern Medicine. 2015;22(29):101-3. (in Chinese)