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한방병원에 내원한 소아청소년기 말초성 안면마비 환자 284례를 통한 임상적 고찰

A Clinical Study on Children and Adolescents Who Visited the Hospital of Korean Medicine for 284-Peripheral Facial Palsy

이혜림|김윤희|한재경|강기연
대한한방소아과학회 (The Association of Pediatrics of Korean Medicine)|2014.11|대한한방소아과학회지 (The Journal of Pediatrics of Korean Medicine)|제28권 제4호|pp. 45-63

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참고문헌

키워드

Peripheral facial palsyBell’s palsyChildren patients
주제분류한의학

초록

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.

Abstract

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.

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