지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 45 - 63 (19page)
이용수
초록· 키워드
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ObjectivesThe purpose of this study is to investigate the clinical characteristics in children and adolescents with peripheralfacial palsy that was treated with Korean medicine.
MethodsThe study was conducted based on 284 cases that consisted of 261 children (less than 19 years old) who visitedthe hospital of Korean medicine from August 2010 to August 2014. Then, this study was analyzed by reviewingthe patients’ charts.
ResultsThe incidence of facial palsy in pediatric patients was more common in boys than in girls and the mean agewas 11.2 years. The prevalence of facial palsy was more common in winter and most were diagnosed with Bell'spalsy. Recurrence was identified in 12.6% of the patients. The average age of the first attack was 9.5 years. It tookabout 3.2 years for recurrence to occur from the first onset. It took about 5 days to visit the hospital of Koreanmedicine from the onset. 81% of the patients came within 1 week from the onset. 50.7% of the cases did notreceive any treatment before and 49.3% were previously treated at other hospitals. More than half of the patients(65.1%) received Korean medicine first. 54.6% of the patients were hospitalized and 45.4% received outpatienttreatments in the hospital of Korean medicine. Outpatient treatments were administered about 11.5 times whilehospitalized patients were treated for an average of 16.6 days. In general, hospitalized patients were treated moreoften than the outpatient group. An overall average duration of treatment was 70.6 days from the onset of facialpalsy until the last day of treatment, and 53.0 days from the first day of treatment until the last day of treatment.
41.5% of the cases were treated only with Korean medicine and 49.0% were treated with a combination ofKorean and Western medicine. The types of Korean medicine treatment used for facial palsy in descending orderof frequency were acupuncture, Infra red, herbal medicine, SSP therapy, electro-acupuncture, carbone, hot pack,cupping, and moxibustion. The treatments that were most frequently used from Western medicines were steroid asmonotherapy (61.7%) and a combination of steroids and antiviral therapy (37.6%).
ConclusionsThis result showed that the risk of facial palsy recurrence among children is relatively high and that facial palsyrequires a long-term treatment. It's helpful to explain about prognosis, treatment duration, and recurrence potentialin children. Facial palsy in children is treated in various ways but more studies about the therapeutic effects ofKorean medicine, Western medicine, and combination of Korean-Western medicine in children are needed.
목차
등록된 정보가 없습니다.
참고문헌 (37)
참고문헌 신청
Adour KK / 1996 / Hitchcock T. Bell’s palsy treatment acyclovir and prednisone compared with prednisone alone. a double-blind, randomized, controlled trial / Ann Otol Rhino
Baugh RF / 2013 / Clinical practice guideline : Bell’s Palsy / Otolaryngol Head Neck Surg 149 (3S) : 1 ~ 27
Finstere J / 2008 / Management of peripheral facial nerve palsy / Eur Arch Otorhinolaryngol 265 (7) : 743 ~ 752
Kenneth W. Lindsay / / Neurology and Neurosurgery Illustrated / EPublic
Khan A / 2011 / Bells palsy in children ?A review / J Pediatr Sci 3 (2) : 2 ~ 11
Baugh RF / 2013 / Clinical practice guideline : Bell’s Palsy / Otolaryngol Head Neck Surg 149 (3S) : 1 ~ 27
Finstere J / 2008 / Management of peripheral facial nerve palsy / Eur Arch Otorhinolaryngol 265 (7) : 743 ~ 752
Kenneth W. Lindsay / / Neurology and Neurosurgery Illustrated / EPublic
Khan A / 2011 / Bells palsy in children ?A review / J Pediatr Sci 3 (2) : 2 ~ 11
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