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벨 마비 재발 환자에 대한 임상적 고찰: 후향적 관찰연구

Clinical study on recurrent Bell's palsy: A retrospective observational study

  • 김민주 (대전대학교 한의과대학 침구학교실) ;
  • 최현규 (대전대학교 한의과대학 침구학교실) ;
  • 차현지 (대전대학교 한의과대학 침구학교실) ;
  • 이영록 (대전대학교 한의과대학 침구학교실) ;
  • 장현진 (대전대학교 한의과대학 침구학교실) ;
  • 김소정 (대전대학교 한의과대학 침구학교실) ;
  • 전주현 (대전대학교 한의과대학 침구학교실) ;
  • 김영일 (대전대학교 한의과대학 침구학교실)
  • Kim, Min Ju (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Choi, Hyeon Kyu (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Cha, Hyun Ji (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Lee, Young Rok (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Jang, Hyun jin (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, So jeong (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Jeon, Ju Hyun (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Young Il (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • 투고 : 2022.03.29
  • 심사 : 2022.05.19
  • 발행 : 2022.06.01

초록

Objectives: This study is designed to statistically analyze characteristics, treatment effect and prognosis of patients who were treated for the recurrent Bell's palsy Methods: This study retrospectively analyzed the medical records and telephone questionnaire of 82 patients treated with the recurrent Bell's palsy at the OO Korean Medicine hospital from August 01, 2018 to July 31, 2021. Results: The lower the EQ-VAS® and HB scale before and after treatment, the higher the satisfaction with the treatment. The average of the number of days and duration of outpatient treatment for male was longer than that for female. The average number of days and duration of outpatient treatment in the group that received combined treatment was longer than that of patients who received Korean Medicine only. The higher the satisfaction of treatment, the higher the willingness to receive treatment in the event of recurrent facial palsy. HB scale after treatment was the lowest in their 40s, and the average value of HB scale after treatment tended to increase as age increased except for those in their 40s. Conclusion: This study showed that the lower the HB scale after treatment, the lower the EQ-VAS®, the higher the treatment satisfaction, and the higher the probability receiving treatment if the facial paralysis recurs. Those in their 10s to 40s showed excellent results after treatment. Comparatively, those in their 50s and above showed a little effect after treatment. Gender, affected side, history of facial palsy, season of onset, age, hypertension and diabetes had no statistically significance with recurrent Bell's palsy prognosis.

키워드

참고문헌

  1. Jung YS, Jang SY, & Shin HC. A Clinical Study about General Characteristics, (2013). Treatment Progress and Obesity-underweight of Idiopathic Facial Paralysis (Bell's palsy). Korean J. Orient. Int. Med. 34(1),86-99 https://doi.org/10.13048/jkm.13014
  2. Kim J. (2020). Facial nerve and Facial Paralysis. Seoul,Korea: Dhmbook. 43-44,74-83
  3. 한국한의학연구원. (2015). Idiopathic Facial Palsy Korean Medicine Clinical Practice Guideline. Seoul,Korea: 엘스비어코리아(유)
  4. Kang EK, Kim JH, & Seo HS. (2009). The clinical investigation studies in peripheral facial paralysis using Needle-embedding therapy. J Korean Med Ophthalmol Otolaryngol Dermatol. 22(2), 118-27
  5. Lee ES, Jeong JY, Seo DG, Shin SY, Seo JC, Seo YJ, … & Jang KJ. (2014). Clinical research of cervical acupotomy effects with acupuncture on facial & trigeminal nerve branch on peripheral facial paralysis and postauricular pain. The Acupunct. 31(4), 143-54 https://doi.org/10.13045/acupunct.2014061
  6. Jeong JY, Lee ES, Seo DG, Shin SY, Kim SY, Kwon HK, … & Yoon HM. (2014). The clinical research of cervical Chuna treatment's effects on Bell's palsy. The Acupunct. 31(3), 45-55
  7. Park YK, Lee CI, Lee JH, Lee HJ, Lee YK, Seo JC, & Kim JS. (2019). A Facial Chuna Manual Therapy for Peripheral Facial Nerve Palsy. Journal of Acupuncture Research. 36(4):197-203. https://doi.org/10.13045/jar.2019.00283
  8. Frequent disease statics Healthcare Bigdata Hub [Internet]2021. Available from: http://opendata.hira.or.kr/op/opc/olapHifrqSickInfo.do
  9. KAMM. Acupuncture medicine. Seoul,Korea: Hanmibook; 2016.656-58
  10. Swami H, Dutta A, & Nambiar S. Recurrent Bell's Palsy. (2010). Medical Journal Armed Forces India. 66, 95-6. https://doi.org/10.1016/S0377-1237(10)80115-7
  11. Shin YJ, Kwon NH, Park HA, Woo HS, Beak YH, Park DS, & Koh HK. (2009). Clinical Study on Recurrent Peripheral Facial Nerve Palsy. The journal of Korean Acupuncture & Moxibustion Society. 26(1), 29-37
  12. Lee HI, Shin JB, Lee SJ, Jun PS, & Kim KT. (2005). Long-term Follow-up of Idiopathic Facial Palsy. Annals of Rehabilitation Medicine. 29(6), 602-607
  13. House JW, & Brackmann DE. (1985). Facial nerve grading system. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 93(2), 146-7. doi: 10.1177/019459988509300202
  14. Whynes DK. (2008). Correspondence between EQ-5D health state classifications and EQ VAS scores. Health and quality of life outcomes. 6: 94. https://doi.org/10.1186/1477-7525-6-94
  15. Yoo MC, Soh YS, Chon JM, Lee JH, Jung JY, Kim SS, … & Yeo SG. (2020). Evaluation of actors associated with favorable outcomes in adults with Bell palsy. JAMA Otolaryngol Head Neck Surg. 146, 256-263. https://doi.org/10.1001/jamaoto.2019.4312
  16. Heckmann JG, Urban PP, Pitz S, Guntinas-Lichius O, & Gagyor I. (2019). The diagnosis and treatment of idiopathic facial paresis (Bell's palsy). Dtsch Arztebl Int. 116, 692-702. https://doi.org/10.3238/arztebl.2019.0692
  17. Gaudin RA, Jowett N, Banks CA, Knox CJ, & Hadlock TA. (2016). Bilateral facial paralysis: a 13-year experience. Plast Reconstr Surg. 138(4), 879-87. https://doi.org/10.1097/PRS.0000000000002599
  18. Kim MW, & KIM J.(2016). Early Stage Steroid Treatment for Acute Facial Paralysis in Korea. Korean J Otorhinolaryngol-Head Neck Surg. 59(5), 346-52. https://doi.org/10.3342/kjorl-hns.2016.59.5.346
  19. Yeo SG, Lee YC, Park DC, & Cha CI. (2008). Acyclovir plus steroid vs steroid alone in the treatment of Bell's palsy. American journal of otolaryngology. 29(3), 163-6. https://doi.org/10.1016/j.amjoto.2007.05.001
  20. Kim JS, Kim JH, Kim YS, Koh HK, Kang SK, & Kim CH. (2000). Cross-sectional Study on Recurrence of Bell's Palsy. Journal of Acupuncture Research. 17(3), 69-74
  21. Huh SS & Kim YI. (2021). Review on Clinical Studies of Recurrent Facial Palsy Treatment in Republic of Korea. Journal of Haehwa Medicine. 30(1), 1-10
  22. Lee JW, Kwon SA, Kim MJ, Song JY, Kim PG, Seo BK, … & Baek YH. (2011). A Study of Facial Palsy Sequelae and Evaluating Scale. J Korean Acupunct Moxib Soc. 28(2), 75-87
  23. Kim KJ, Seok JI, & Lee DK. (2008). The Clinical Analysis of Recurrent Bell's Palsy. Annals of Clinical Neurophysiology. 10(1), 38-42
  24. Dourado GB, Volpato GH, Pedron Oltramari PV, De almeida-pedrin RR, Freire Femandes TM, & De castro ferreire conti AC. (2021). Likert scale vs visual analog scale for assessing facial pleasantness. Am J Orthod Dentofacial Orthop. 160(6), 844-852. https://doi.org/10.1016/j.ajodo.2020.05.024
  25. Lee YR, Cha HJ, Choi HK, Kim MJ, Kim BS, Sung KJ, … & Kim YI. (2021). Analysis of Patients Visiting Department of Acupuncture and Moxibustion in Korean Medicine Hospital Before and After COVID-19 - Focusing on a Korean Medicine Hospital in Daejeon. Journal of Korean Medicine. 42(2), 31-49. https://doi.org/10.13048/jkm.21013
  26. Jeon SJ, Choi ES, & Lee HY. (2010). Gender-related Difference in the Utilization of Health Care Services by Korean Adults. The Journal of Korea Community Health Nursing Academic Society. 24(2): 182-196. https://doi.org/10.5932/JKPHN.2010.24.2.182
  27. 대한이과학회. (2010). Seoul, Korea. 급성안면신경마비 진료지침
  28. Park GN, Jeong JK, Kim ES, Kim JH, & Kim YI. (2017). Prognostic Factors of Idiopathic Facial Palsy: A Retrospective Study. Journal of Acupuncture Research. 34, 23-38. https://doi.org/10.13045/acupunct.2017090
  29. Lee DH, Jun BJ, & Lee DH. (2005). Analysis of Prognostic Factors in Bell's Palsy and Ramsay-Hunt's Syndrome. Korean J Otolaryngol. 48, 1081-5. https://doi.org/10.1016/j.anl.2006.09.005