面癱面神經(jīng)炎健康教育課件

面癱的常識(shí)眉山市中醫(yī)院骨傷康復(fù)部EvanStonon.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL面癱的定義口現(xiàn)代醫(yī)學(xué)醫(yī)學(xué)認(rèn)為,周圍性面神經(jīng)是指乳突內(nèi)急性非化膿性面神經(jīng)炎,使支配面部表情肌失去神經(jīng)支配與控制,出現(xiàn)面肌馳緩不收的病理狀態(tài)。面癱可分為中樞性面癱與周圍性面癱EvanStonon.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL為什么會(huì)出現(xiàn)面癱呢?風(fēng)寒證多有面部受涼因素,如迎風(fēng)睡眠,面部吹風(fēng)過久,久騎摩托車吹風(fēng),一般無(wú)外感表證。風(fēng)熱證往往繼發(fā)于感冒發(fā)熱,中耳炎,牙齦腫痛之后,伴有耳內(nèi)或乳突部輕微作痛血瘀證有顱腦部外傷史,致顱底骨折血腫形成,伴有耳鳴或聽力下降EvanStonon.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL面癱的癥狀面癱,俗稱口眼歪斜,亦稱口僻。任何年齡均可發(fā)病,但以2040歲青壯年為多見,春秋兩季發(fā)病率較高。本病的特點(diǎn)是突然發(fā)病,多為單側(cè),長(zhǎng)于幾小時(shí)內(nèi)達(dá)到高峰,部分患者發(fā)病前幾天感患側(cè)耳周疼痛不適多數(shù)患者在晨起洗臉時(shí)發(fā)現(xiàn)兩側(cè)面部不對(duì)稱,患側(cè)眼裂變大、口角下垂、流口水,閉眼露睛,流淚,不能皺眉額紋消失或變淺口角低垂歪向健側(cè),面部肌肉松馳麻痹鼻唇溝變淺,不能鼓腮或漏氣,不能作蹙額,皺眉,露齒等動(dòng)作,口角歪向健側(cè),漱口漏水,進(jìn)食時(shí)感到食物滯留于患側(cè)齒頰間隙內(nèi)EvanStonon.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL面神經(jīng)面神經(jīng)所支配的肌肉支配面部的運(yùn)動(dòng),如閉眼睛、鼓嘴巴等左側(cè)面神經(jīng)感染引起左側(cè)面癱,右側(cè)面神經(jīng)感染引起右側(cè)面癱些肌肉運(yùn)動(dòng)的功能Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL圖1睜眼狀態(tài)下的面癱(左側(cè)面癱)左側(cè)額紋消右左嘴巴向右側(cè)歪斜左側(cè)鼻唇溝變淺我們的面部運(yùn)動(dòng)是兩側(cè)肌肉一起用力的,這就好像一個(gè)拔河比賽,左側(cè)的沒有力量,繩子就會(huì)被拉向右側(cè)EvanStonon.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL圖2閉眼狀態(tài)下的面癱(左側(cè)面癱)左側(cè)額紋消失左側(cè)眼睛不能閉合右左嘴巴向右側(cè)歪斜左側(cè)鼻唇溝變淺EvanStonon.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyLA:中風(fēng):口舌歪斜(中樞性面癱)B:口僻:口眼歪斜(周圍性面癱Vaudonon.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL鑒別診斷中樞性面癱周圍性面癱神經(jīng)元上運(yùn)動(dòng)神經(jīng)元下運(yùn)動(dòng)神經(jīng)元病灶對(duì)稱同側(cè)面癱范圍眼裂以下面肌癱全面肌癱味覺正常可有障礙伴發(fā)癥狀常有,如偏癱不一定EvanStonon.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL出現(xiàn)面癱后該怎么辦?一般面癱多為周圍性,因周圍性面癱多數(shù)出現(xiàn)在面部受寒或吹風(fēng)后或鼻咽耳部出現(xiàn)疾病時(shí),使支配面部神經(jīng)出現(xiàn)無(wú)菌性炎癥或炎癥侵害,首先及時(shí)保護(hù)面部不能再受寒,(包括避免吹風(fēng),用冷水洗面,開摩托帶全盔,忌食辛辣刺激之品);及時(shí)就醫(yī),因?yàn)槌霈F(xiàn)無(wú)菌性炎癥或炎癥侵害,神經(jīng)周圍出現(xiàn)水腫,水腫時(shí)間越長(zhǎng),對(duì)神經(jīng)損傷越重。EvanStonon.chAsposeslides