Microvascular decompression in treatment of 60 patients with hemifacial spasm Nursing.doc

 PAGE \* MERGEFORMAT 12 Microvascular decompression in treatment of 60 patients with hemifacial spasm Nursing [Abstract] microvascular decompression (MVD is the treatment of hemifacial spasm (HFS a new method. This paper reports the application (MVD 60 cases of patients with hemifacial spasm care, psychological care and good preoperative examinations, postoperative monitoring of vital signs, observe the efficacy and complications. discharged well before discharge guidance, explain the prevention of pain, prevent recurrence of problems. This group of 51 cases of postoperative vomiting, dizziness, cerebrospinal fluid leakage in 3 cases of peripheral facial paralysis in 4 cases, 2 cases of intracranial hemorrhage, the treatment and care was recovered after. [Keywords:] microvascular decompression of hemifacial spasm, nursing Hemifacial spasm (HFS is the facial nerve in the facial muscles episodic, recurrent, involuntary twitching. Most of the brain stem by the facial nerve in the area by the responsibility of long-term chronic stimulation of vascular compression, resulting in partial demyelination / nerve conduction and fiber contact nerve impulses “short circuit”, the facial nerve caused by over-excited [1]. HFS Although there is no danger, but often prolonged course, so that patients suffering from pain and suffering. microvascular decompression (MVD surgery for HFS is the preferred solution, the effective rate 87.5% ~ 99.3% [2]. our department in December 2003-2006 60 patients with a MVD surgery for patients with HFS, the effect is satisfactory, the relevant care and reported as follows. 1 Clinical data The group of 60 patients, male 24, female 36 cases. Aged 40 to 62 years, mean 49.5 years old. Duration of 10 months to 8 years, an average of 4.5 years. HFS35 cases left and right in 22 cases, bilateral in 3 cases. The group received preoperative medication, acupuncture or physical therapy and other treatment before surgery patients received .21