한방병원에 입원한 수면 장애를 동반한 말초성 안면신경마비 환자에 대한 한방 치료 1례
A Case Report of Traditional Korean Medical Treatment of a Patient with Facial Nerve Palsy and Sleep Disorder Hospitalized at a Korean Medicine Hospital
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Objective: Facial nerve palsy causes both facial muscle malfunction and mental illness. Because a facial nerve palsy lesion shows on the face, it can have serious effects on social relationships and mental health. Many facial nerve palsy patients undergo anxiety, depression, and social phobia. In this study, a facial nerve palsy patient with sleep disorder was admitted to the Korean medicine hospital for treatment. Methods: The patient with facial nerve palsy and sleep disorder was treated with herbal medicines, acupuncture, herbal acupuncture therapy, and physical therapy. We used the House Brackmann grading system and Yanagihara's Unweighted Grading System to assess changes in facial nerve palsy symptoms and the Korean Modified Leeds Sleep Evaluation Questionnaire to assess the sleep disorder. Results: The patient was hospitalized for 18 days and showed a recovery from both facial nerve palsy and sleep disorder symptoms without any adverse events. We conclude that patients with facial nerve palsy should be treated from both the physical and mental health perspectives.
Abstract
Objective: Facial nerve palsy causes both facial muscle malfunction and mental illness. Because a facial nerve palsy lesion shows on the face, it can have serious effects on social relationships and mental health. Many facial nerve palsy patients undergo anxiety, depression, and social phobia. In this study, a facial nerve palsy patient with sleep disorder was admitted to the Korean medicine hospital for treatment. Methods: The patient with facial nerve palsy and sleep disorder was treated with herbal medicines, acupuncture, herbal acupuncture therapy, and physical therapy. We used the House Brackmann grading system and Yanagihara's Unweighted Grading System to assess changes in facial nerve palsy symptoms and the Korean Modified Leeds Sleep Evaluation Questionnaire to assess the sleep disorder. Results: The patient was hospitalized for 18 days and showed a recovery from both facial nerve palsy and sleep disorder symptoms without any adverse events. We conclude that patients with facial nerve palsy should be treated from both the physical and mental health perspectives.
참고문헌 (25)
- 이성은, "말초성 안면마비 후유증의 비수술적 치료에 관한 국내외 연구 동향", 한방안이비인후피부과학회지, 31(4), pp.42~64 (2018), 대한한방안이비인후피부과학회[DOI]
- 원재선, "안면마비(Bell's palsy) 후유증 환자에 대한 임상 고찰 18례", 한방안이비인후피부과학회지, 22(3), pp.167~177 (2009), 대한한방안이비인후피부과학회
- Song BY, "Clinical predictive diagnostic study on prognosis of Bell's palsy with the Digital Infrared Thermal Image", Journal of Acupuncture Research, 18(1), pp.1~13 (2001)
- 유지훈, "급성 벨마비 환자의 자가보고형 불안 및 우울평가", Annals of Clinical Neurophysiology, 11(2), pp.48~53 (2009), 대한임상신경생리학회
- Susan E, "Expression of emotion and quality of life after facial nerve paralysis", Otol Neurotol, 25(6), pp.1014~1019 (2004)
- 문효, "구안와사 환자의 삶의 질에 대한 연구", 한방안이비인후피부과학회지, 22(1), pp.157~171 (2009), 대한한방안이비인후피부과학회
- 이정순, "경락마사지가 안면신경마비환자의 안면마비회복도, 통증 및 불안에 미치는 효과", 동서간호학연구지, 15(2), pp.110~118 (2009), 동서간호학연구소
- 신미숙, "도인기공체조(導引氣功體操)가 구안와사(口眼喎斜)환자의 안면마비 회복정도 통증 및 불안에 미치는 효과", 임상간호연구, 18(1), pp.52~62 (2012), 병원간호사회[DOI]
- 홍현우, "뇌혈관 장애환자의 불면증에 대한 酸棗仁湯의 치료효과에 대한 임상연구", 동의생리병리학회지, 18(6), pp.1927~1932 (2004), 한의병리학회
- House JW, "Facial nerve grading systems", Laryngoscope, 93(8), pp.1056~1069 (1983)
- 권혜영, "Yanagihara's System을 이용한 구안와사의 호전도 평가", Journal of Acupuncture Research, 19(1), pp.118~126 (2002), 대한침구의학회
- 최희정, "수면장애 연구와 실무를 위한 자가보고 수면 측정도구", 재활간호학회지, 15(1), pp.1~10 (2012), 한국재활간호학회[DOI]
- 김인자, "Psychometric Properties of Korean Version of Modified Leeds Sleep Evaluation Questionnaire (KMLSEQ)", 재활간호학회지, 17(1), pp.10~17 (2014), 한국재활간호학회
- 황지혜, "末梢性顔面神經痲痺에 대한 SSP치료요법과 전침요법의 병행치료 효과", Journal of Acupuncture Research, 24(4), pp.69~80 (2007), 대한침구의학회
- The society of Korean Acupuncture & Moxibustion Medicine, "The acupuncture and moxibustion", pp.186~190 (2008), Jipmoondang
- 김민수, "The clinical research of the efficacy of bee venom aqua-acupunture on peripheral facial paralysis", Journal of Acupuncture Research, 21(4), pp.251~262 (2004), 대한침구의학회
- Hong SB, "Gold Lid Loading On Lagophthamos of Facial Paralysis", Archives of Plastic Surgery, 23(5), pp.1255~1260 (1996)
- Choi SJ, "Surgical Treatment of Facial Paralysis by Using Static Ancillary Procedures", Archives of Plastic Surgery, 25(8), pp.1531~1539 (1998)
- Zhang J, "Gum-goe-yo-rak Prescriptions", pp.59~74 (1987), Donyang Publsih
- Son MJ, "An Herbal Drug, Gongjin-dan, Ameliorates Acute Fatigue Caused by Short-Term Sleep-Deprivation:A Randomized, Double-Blinded, Placebo-Controlled, Crossover Clinical Trial", Frontiers in Pharmacology, 9 (2018)
- 김미용, "두경부 마사지가 중환자실 환자의 수면과 불안에 미치는 효과", 임상간호연구, 11(2), pp.49~61 (2006), 병원간호사회
- 최유진, "말초성 안면신경마비에 대한 일반침 치료와 두침 병행치료의 효과비교", Journal of Acupuncture Research, 27(6), pp.101~109 (2010), 대한침구의학회
- 박재흥, "말초성 안면신경마비에 대한 약침병행치료 효능의 임상적 고찰 - 자하거 약침과 Sweet Bee Venom을 중심으로 -", Journal of Acupuncture Research, 27(2), pp.79~87 (2010), 대한침구의학회
- 육태한, "The Effect of Hominis Placenta Herbal Acupuncture on Bell's palsy", Journal of Pharmacopuncture, 3(1), pp.89~99 (2000), 대한약침학회[DOI]
- Sung RK, "Recently Acupuncture", pp.56~ (1988), Henglim Publish
