广东医学2026，Vol.47Issue(3)：362-366,5.DOI:10.13820/j.cnki.gdyx.20253643
超声引导下星状神经节阻滞治疗特发性面神经麻痹的疗效
Efficacy of ultrasound-guided stellate ganglion block in the treatment of idiopathic facial nerve palsy
摘要
Abstract
Objective To evaluate the clinical efficacy of stellate ganglion block(SGB)combined with conven-tional pharmacotherapy in the treatment of idiopathic facial nerve palsy through a retrospective analysis.Methods Eighty patients diagnosed with idiopathic facial nerve palsy between January 2022 and October 2025 were included.According to treatment modality,patients were divided into an SGB group(n=40),who received ultrasound-guided stellate ganglion block combined with conventional drug therapy,and a control group(n=40),who received conventional drug therapy alone.Facial nerve function before and after treatment was compared between the two groups.The primary outcome meas-ures were the House-Brackmann(H-B)grading scale and scores on the Simplified Facial Nerve Function Assessment Scale.Results Before treatment,there were no significant differences between the two groups in baseline characteristics or facial nerve function scores(all P＞0.05).After treatment,both groups showed significant improvement in H-B grades and facial nerve function scores compared with baseline(all P＜0.001).However,the magnitude of improvement in the SGB group was significantly greater than that in the control group(all P＜0.001).Conclusion Ultrasound-guided stellate ganglion block combined with conventional pharmacotherapy can more effectively promote recovery of facial nerve function in patients with idiopathic facial nerve palsy compared with pharmacotherapy alone,while maintaining good safety.关键词
特发性面神经麻痹/星状神经节阻滞/面神经功能/超声引导/回顾性研究Key words
idiopathic facial nerve palsy/stellate ganglion block/facial nerve function/ultrasound guidance/retrospective study分类
医药卫生引用本文复制引用
叶东雪,刘宇,郎志辰,黄小娟,孙源,赵佳,王唯斯,沈艳,李永旺..超声引导下星状神经节阻滞治疗特发性面神经麻痹的疗效[J].广东医学,2026,47(3):362-366,5.基金项目
深圳市龙岗区科技创新专项资金医疗卫生技术攻关扶持项目(LGKCYLWS2024-26) （LGKCYLWS2024-26）
深圳市龙岗区经济与科技发展专项资金医疗卫生科技计划项目(LGKCYLWS2021000034) （LGKCYLWS2021000034）
