System Evaluation of Chinese Herbs on Bell’s Palsy_West China Medical Journal

Authors：

LI Xinrong , HUANG Changming

Department of Otolaryngology, 416 Hospital of China National Nuclear Corporation, Chengdu, Sichuan 610051, P.R.China;

Corresponding?author：

Keywords：

中藥; 貝爾面癱; 安全性; 有效性; 系統評價

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【摘要】目的 評價中藥治療貝爾（Bell’s）面癱的有效性和安全性。方法以中藥、中西醫結合、Bell’s面癱、特發性面癱、面神經疾病和（或）麻痹、顱神經、顱神經疾病/麻痹為主題詞，檢索ECSCO數據庫系列的ASP（Academic Source Premier）、 NSTL數據庫系列的ACP美國醫師協會電子期刊數據庫及Medicines Complete英國醫藥出版社醫藥數據庫、MEDLINE數據庫、CNKI中國期刊全文數據庫、VIP中文科技期刊全文數據庫和萬方數據庫，并在因特網上檢索相關學位論文和正在進行的研究。相關的學術會議論文和學位論文匯編也同時予以檢索。鑒定相關文章附錄的參考文獻作為補充檢索。結果所有以中藥治療Bell’s面癱的隨機對照試驗均被納入。結論對納入的隨機對照試驗進行方法學質量的評估，數據提取和數據分析。
【Abstract】 Objective To evaluate the efficacy and safety of Chinese herbs on Bell’s palsy. Methods With the searching terms including chinese herbs, integrated chinese and western medicine, Bell’s palsy, peripheral facial palsy,facial nerve disease/paralysis, cranial nerve,cranial nerve disease/paralysis were searched in the database of ASP, ACP, Medicines Complete, MEDLINE, CNKI,VIP and Wanfang. While to search the related academic dissertation and ongoing researches on internet. Relevant academic conference and dissertation proceedings have also been searched. Results All randomized trials about Chinese herbs for Bell’s palsy were included in this review. Conclusion Assessment of methodological quality, data extraction and syntheses were carried out.

Citation： LI Xinrong,HUANG Changming. System Evaluation of Chinese Herbs on Bell’s Palsy. West China Medical Journal, 2010, 25(8): 1397-1399. doi: Copy

1.	韓德民, 許時昂. 聽力學基礎與臨床[M]. 上海: 科學文獻出版社, 2005: 127. .
2.	馬建鎖, 劉曉東. 參芪牽正湯治療面癱50例[J]. 光明中醫, 2008, 23(10): 1500. .
3.	晏廷念, 周賢剛. 復方丹參滴丸治療Bell’s面癱的隨機對照研究[J]. 中國實用醫藥, 2008, 3(17): 8-9. .
4.	盧國蓮, 王勝. 祛風通絡飲治療周圍性面癱100例[J]. 湖北中醫雜志, 1995, 17(119): 14-15. .
5.	徐寶平. β-七葉皂甙鈉治療Bell麻痹26例療效觀察[J]. 中國實用神經疾病雜志, 2006, 9(5): 123-124. .
6.	狄晴, 曹輝, 劉浩, 等. 七葉皂苷鈉、強的松治療Bell 麻痹的隨機對照研究[J]. Chin J Nerv Ment Dis, 2004, 30(1): 14-16. .
7.	李淑英. 中西醫結合治療Bell’s病[J]. 湖北中醫雜志, 2004, 26(9): 27. .
8.	揚萬章, 吳芳, 張敏. 周圍性面神經麻痹的中西醫結合評定及療效標準(草案)[J]. 中西醫結合心腦血管病, 2006, 3 (9): 787-788. [9] Schulz, Kenneth F. Subverting randomization in controlled trials [J]. JAMA, 1995, 274(18): 1456-1458.
9.	Wong CL, Wong Virginia CN. Eflect of acupuncture in a patient with 7-year-rostory of Bell’s palsy[J]. J Altern Complem Med, 2008, 7(14): 847. .
10.	陳劍明, 溫乃元. 試述中醫文獻對面癱的認識[J]. 湖北中醫學院學報, 2005, 7(2): 35-36.
11.	Roob G, Fazekas F, Hartung HP. Peripheral facial palsy: etiology, diagnosis and treatment european[J]. Neurology, 1999, 41(1): 3-9. .
12.	Hughes GB. Prognostic tests in acute palsy[J]. Am J Otol, 1989, 10(4): 304-311. .
13.	Gantz BJ, Rubinstein JT, Gidley P, et al. Surgical management of Bell’s palsy[J]. Laryngoscope, 1999, 109(8): 1177-1188. .
14.	Chow LCK, Tam RCN, Li MF. Use of electroneurography as a prognostic indicator of Bell’s palsy in Chinese patients[J]. Otol Neurotol, 2002, 23(4): 598-601. .
15.	Kerbavaz RJ, Hilsinger RL, Adour KK. The facial paralysis prognostic index[J]. Otolaryngol Head Neck Surg, 1983, 91(3): 284-289. .
16.	Muke Z, Li H, Dong Z, et al. Acupuncture for Bell’s palsy[J]. J Altern Complem Med, 2009, 15(7): 759-764. .
17.	Santos-Lasaosa S, Pascnal-Millan LFT-JC, Morales-Asin F. Peripheral facial paralysis: etiology, diagnosis and treatment[J]. Rev Neurol, 2000, 30(2): 1048-1053. .
18.	李夢晨, 黃秀琴, 謝洪啟. Bell’s面癱對患者的心理影響及其心理健康狀況[J]. 中國健康心理學雜志, 2008, 16(6): 691-692. .
19.	Adour KK, Hetzler DG. Current medical treatment for facial palsy[J]. Am J Otol, 1984, 5(6): 499-502. .
20.	Hato N, Yamada H, Kohno H, et al. Current medical treatment for facial palsy[J]. Otol Neurotol, 2007, 28(7): 408-413. .
21.	Vargish L, Schumann SA. For Bell’s palsy, start steroids early: no need for an antiviral[J]. J Fam Practice, 2008, 57(1): 22-25. .
22.	Adour KK, Wingerd J, Bell DN, et al. Prednisone treatment for idiopathic facial paralysis (Bell’s palsy) [J]. New Engl Med, 1972, 287(25): 1268-1272. .
23.	Piecy J. 10-minute consultation: Bell’s palsy[J]. BMJ, 2005, 330(7504): 1374. .
24.	Williamson IG, Whelan TR. The clinical problem of Bell’s palsy: is treatment with steroids effective [J]? Br J Gen Pract, 1996, 46(413): 743-747. .
25.	Salinas RA, Alvarez G, Ferreira J. Corticosteroids for Bell’s palsy(idiopathic facial paralysis). Cochrane Database Syst Rev, 2010, 17(3): CD001942. .
26.	McCormick DP. Herpes simplex virus as a cause of Bell’s palsy[J]. Lancet, 1972, 299(7757): 937-939. .
27.	de Diego JI, Prim MP, De Sarria MJ, et al. Idiopathic facial paralysis: a randomized, prospective, and controlled study using single-dose prednisone versus acyalovir three times daily[J]. Laryngoscope, 1998, 108(4): 573-575. .
28.	Sullivan FM, Swan IR, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell’s palsy[J]. New Engl J Med, 2007, 357(16): 1589-1607.

1. 韓德民, 許時昂. 聽力學基礎與臨床[M]. 上海: 科學文獻出版社, 2005: 127. .
2. 馬建鎖, 劉曉東. 參芪牽正湯治療面癱50例[J]. 光明中醫, 2008, 23(10): 1500. .
3. 晏廷念, 周賢剛. 復方丹參滴丸治療Bell’s面癱的隨機對照研究[J]. 中國實用醫藥, 2008, 3(17): 8-9. .
4. 盧國蓮, 王勝. 祛風通絡飲治療周圍性面癱100例[J]. 湖北中醫雜志, 1995, 17(119): 14-15. .
5. 徐寶平. β-七葉皂甙鈉治療Bell麻痹26例療效觀察[J]. 中國實用神經疾病雜志, 2006, 9(5): 123-124. .
6. 狄晴, 曹輝, 劉浩, 等. 七葉皂苷鈉、強的松治療Bell 麻痹的隨機對照研究[J]. Chin J Nerv Ment Dis, 2004, 30(1): 14-16. .
7. 李淑英. 中西醫結合治療Bell’s病[J]. 湖北中醫雜志, 2004, 26(9): 27. .
8. 揚萬章, 吳芳, 張敏. 周圍性面神經麻痹的中西醫結合評定及療效標準(草案)[J]. 中西醫結合心腦血管病, 2006, 3 (9): 787-788. [9] Schulz, Kenneth F. Subverting randomization in controlled trials [J]. JAMA, 1995, 274(18): 1456-1458.
9. Wong CL, Wong Virginia CN. Eflect of acupuncture in a patient with 7-year-rostory of Bell’s palsy[J]. J Altern Complem Med, 2008, 7(14): 847. .
10. 陳劍明, 溫乃元. 試述中醫文獻對面癱的認識[J]. 湖北中醫學院學報, 2005, 7(2): 35-36.
11. Roob G, Fazekas F, Hartung HP. Peripheral facial palsy: etiology, diagnosis and treatment european[J]. Neurology, 1999, 41(1): 3-9. .
12. Hughes GB. Prognostic tests in acute palsy[J]. Am J Otol, 1989, 10(4): 304-311. .
13. Gantz BJ, Rubinstein JT, Gidley P, et al. Surgical management of Bell’s palsy[J]. Laryngoscope, 1999, 109(8): 1177-1188. .
14. Chow LCK, Tam RCN, Li MF. Use of electroneurography as a prognostic indicator of Bell’s palsy in Chinese patients[J]. Otol Neurotol, 2002, 23(4): 598-601. .
15. Kerbavaz RJ, Hilsinger RL, Adour KK. The facial paralysis prognostic index[J]. Otolaryngol Head Neck Surg, 1983, 91(3): 284-289. .
16. Muke Z, Li H, Dong Z, et al. Acupuncture for Bell’s palsy[J]. J Altern Complem Med, 2009, 15(7): 759-764. .
17. Santos-Lasaosa S, Pascnal-Millan LFT-JC, Morales-Asin F. Peripheral facial paralysis: etiology, diagnosis and treatment[J]. Rev Neurol, 2000, 30(2): 1048-1053. .
18. 李夢晨, 黃秀琴, 謝洪啟. Bell’s面癱對患者的心理影響及其心理健康狀況[J]. 中國健康心理學雜志, 2008, 16(6): 691-692. .
19. Adour KK, Hetzler DG. Current medical treatment for facial palsy[J]. Am J Otol, 1984, 5(6): 499-502. .
20. Hato N, Yamada H, Kohno H, et al. Current medical treatment for facial palsy[J]. Otol Neurotol, 2007, 28(7): 408-413. .
21. Vargish L, Schumann SA. For Bell’s palsy, start steroids early: no need for an antiviral[J]. J Fam Practice, 2008, 57(1): 22-25. .
22. Adour KK, Wingerd J, Bell DN, et al. Prednisone treatment for idiopathic facial paralysis (Bell’s palsy) [J]. New Engl Med, 1972, 287(25): 1268-1272. .
23. Piecy J. 10-minute consultation: Bell’s palsy[J]. BMJ, 2005, 330(7504): 1374. .
24. Williamson IG, Whelan TR. The clinical problem of Bell’s palsy: is treatment with steroids effective [J]? Br J Gen Pract, 1996, 46(413): 743-747. .
25. Salinas RA, Alvarez G, Ferreira J. Corticosteroids for Bell’s palsy(idiopathic facial paralysis). Cochrane Database Syst Rev, 2010, 17(3): CD001942. .
26. McCormick DP. Herpes simplex virus as a cause of Bell’s palsy[J]. Lancet, 1972, 299(7757): 937-939. .
27. de Diego JI, Prim MP, De Sarria MJ, et al. Idiopathic facial paralysis: a randomized, prospective, and controlled study using single-dose prednisone versus acyalovir three times daily[J]. Laryngoscope, 1998, 108(4): 573-575. .
28. Sullivan FM, Swan IR, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell’s palsy[J]. New Engl J Med, 2007, 357(16): 1589-1607.

West China Medical Journal

System Evaluation of Chinese Herbs on Bell’s Palsy

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