How to treat Bell's palsy? Here are three methods

Speaking of Bell's palsy, I believe many people are very confused when they first hear about this disease. Therefore, this article will give you a detailed introduction to the treatment of Bell's palsy.

1. Medication

(1) Glucocorticoids can reduce inflammation, swelling, and immune response in the acute phase, inhibit the inflammatory response of the facial nerve, and reduce the pressure on the facial nerve in the fixed diameter bone canal, thereby reducing the degree of compression of the facial nerve bone canal and microcirculation disorders caused by edema and thickening. Therefore, glucocorticoid treatment is the primary and main drug treatment for this disease, but it should not be used for a long time. Caution should be used by patients with diabetes, tuberculosis, gastric ulcer and pregnant women. Use with caution in children to avoid affecting their growth and development. People with high blood pressure should pay attention to controlling their blood pressure.

(2) Antiviral drugs can interfere with herpes virus DNA polymerase and inhibit DNA replication. Acyclovir is commonly used, but ganciclovir, famciclovir or valacyclovir can also be used.

(3) Neurotrophic drugs or energy mixtures such as vitamin B1 and vitamin B12 are injected intramuscularly or taken orally. ATP is injected intramuscularly or intravenously. Coenzyme A intravenous drip.

(4) Drugs to improve facial nerve microcirculation include ginkgo leaf extract or other drugs that dilate blood vessels and improve microcirculation, which can be injected intravenously or taken orally.

(5) Painkillers: Painkillers can be used appropriately when there is severe ear pain.

(6) Eye ointments and eye drops: You can use eye ointments, such as tetracycline or erythromycin eye ointment, to apply to the affected eye at night and protect the eye with an eye patch. Artificial tears can be used when tear production is reduced.

2. Surgery

Facial nerve decompression: When the facial nerve electroneurogram shows that the number of facial nerve fiber degeneration reaches 90% to 94%, and clinically it is found that there is no improvement in facial nerve function and it is progressively worsening, facial nerve decompression should be performed in a timely manner.

3. Other treatments

(1) Traditional Chinese medicine and acupuncture can play an auxiliary role in treatment. During the acute phase (1 to 2 weeks), strong stimulation such as acupuncture should not be used for treatment. Acupuncture can be used for treatment after the acute phase. Blood-activating and blood-stasis-removing drugs have an auxiliary effect on improving facial nerve microcirculation. Heat-clearing and detoxifying drugs can also be used to fight viruses.

(2) Hot compresses, physical therapy, facial massage, etc. can be used as auxiliary treatments in the acute stage, such as thermotherapy, magnetic therapy or electromagnetic therapy, ultrashort wave or microwave, laser and direct current drug ion introduction. Physical therapy such as muscle massage and training can be used during the recovery period. Patients with hemifacial spasm can be treated with magnesium ion introduction, motor point blocking therapy of spasmodic muscles such as injection of phenol solution, botulinum toxin, etc.