物理疗法治疗儿童周围性面瘫的系统性综述

A Systematic Review of Physical Therapy for Pediatric Peripheral Facial Paralysis

摘要: 小儿周围性面瘫是一种常见的神经系统疾病，严重影响患儿的生活质量。近年来，物理疗法在该病的治疗中得到了广泛应用。本文旨在系统评价物理疗法在儿童周围性面瘫治疗中的临床应用效果及其价值。通过检索中国知网、万方、维普等中文数据库自建库至2025年6月的相关文献，依据预设纳入与排除标准筛选出124项临床研究进行分析。结果显示，推拿、高压氧、半导体激光、艾灸等多种物理疗法在改善患儿面神经功能方面均表现出良好疗效，总有效率多高于90%，且具有无创、安全、患儿接受度高等优势。然而，当前研究存在方法学质量不一、样本量偏小、缺乏标准化治疗方案等局限性。结论认为，物理疗法在儿童周围性面瘫治疗中具有重要临床应用价值，但仍需更多高质量、大样本、多中心的随机对照试验以优化治疗参数并提供更可靠的循证依据。

Abstract: Peripheral facial paralysis in children is a common neurological disorder that significantly impacts patients’ quality of life. In recent years, physical therapy has been widely applied in the treatment of this condition. This study aims to systematically evaluate the clinical efficacy and value of physical therapy in treating peripheral facial paralysis in children. Relevant literature published from the inception of Chinese databases, including CNKI, Wanfang, and VIP, up to June 2025, was retrieved. Based on predefined inclusion and exclusion criteria, 124 clinical studies were selected for analysis. The results indicate that various physical therapies, such as massage, hyperbaric oxygen therapy, semiconductor laser therapy, and moxibustion, demonstrate significant efficacy in improving facial nerve function in pediatric patients, with overall effectiveness rates mostly exceeding 90%. These therapies also offer advantages such as being non-invasive, safe, and well-accepted by children. However, current research has limitations, including inconsistent methodological quality, small sample sizes, and a lack of standardized treatment protocols. In conclusion, physical therapy holds important clinical value in the treatment of peripheral facial paralysis in children, but more high-quality, large-sample, multicenter randomized controlled trials are needed to optimize treatment parameters and provide more reliable evidence-based support.