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首页> 外文期刊>Indian journal of leprosy >Efficacy of Steroid and Physiotherapy in Early Reported Lagophthalmos of Patient Affected with Leprosy. A Report from Tribal Dominated Leprosy Endemic State of India
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Efficacy of Steroid and Physiotherapy in Early Reported Lagophthalmos of Patient Affected with Leprosy. A Report from Tribal Dominated Leprosy Endemic State of India

机译：类固醇和物理疗法在麻风病患者的早期报道的腹泻中的疗效。印度部落主导的麻风病流行国的报告

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Lagophthalmos is one of the well-known complications of leprosy due to involvement of the facial nerve. In the present study an attempt has been made to elucidate the role of early intervention with steroids and adjunct physiotherapy in early reported lagophthalmos in patients affected with leprosy at a tertiary referral institute under the Disability Prevention and Medical rehabilitation (DPMR) programme. During April 2008 to March 2014,62 patients affected with leprosy reported to Regional leprosy Training and Research Institute with lagophthalmos. Cases reporting within six months of difficulty in closure were categorized as early reporting group. These were either referred from a peripheral health centre (63%) or self-reported (37%). These patients were examined clinically and details were noted in a pretested Performa. The standard dosages of the steroids were given to patients as per NLEP guidelines. Lid gaps on direct gaze and with both gentle and forced closure were assessed using standard measuring technique by a physiotherapist. During the follow-up period the patients were imparted active and passive physiotherapy and any change in the lid gap was recorded. The data was analysed and appropriate test of significance was applied. Out of 62 lagophthalmos patients, 49(79.1%) were males and 13 (20.9%) were females. 56(90.3%) cases were from MB category and 6 (9,7%) cases were from PB category. 53(85.4%) patients presented with unilateral eye involvement, while 9 (14.6%) had bilateral lagophthalmos. 53 (74.6%) of the eyes achieved complete lid closure, while the remaining 18 (25.4%) eyes had gap on gentle closure. During six month follow-up the amount of recession of lid gap among the early reported lagophthalmos was 4.15 mm with standard steroid regimen and physiotherapy. With the use of the steroid and regular physiotherapy lagophthalmos diagnosed and treated in initial stages shows significant improvement in the lid gap reduction.
机译：Lagophthalmos是由于面神经受累而引起的麻风病并发症之一。在本研究中，已尝试在残疾预防和医学康复（DPMR）计划下，在第三级转诊机构阐明早期使用类固醇干预和辅助物理疗法在麻风病患者中早期报道的腹泻性眼病中的作用。在2008年4月至2014年3月期间，有62例麻风病患者报告了区域性麻风病培训和研究所的眼睑炎。在结案困难后六个月内报告的病例被归为早期报告组。这些患者是从周边健康中心转诊的（63％）或自我报告的（37％）。对这些患者进行了临床检查，并在预先测试的Performa中记录了详细信息。根据NLEP指南，将类固醇的标准剂量给予患者。物理治疗师使用标准的测量技术评估了直接注视，轻度和强制关闭时的盖间隙。在随访期间，对患者进行了主动和被动理疗，并记录了眼睑间隙的任何变化。分析数据并进行适当的显着性检验。在62例眼睑积水患者中，男性49例（79.1％），女性13例（20.9％）。 MB类别有56（90.3％）例，PB类别有6（9.7％）例。 53例（85.4％）患者单眼受累，而9例（14.6％）患双侧眼睑。 53眼（74.6％）的眼睑完全闭合，其余18眼（25.4％）的眼睑轻度闭合。在六个月的随访期间，采用标准的类固醇疗法和物理疗法，早期报道的腹泻性眼睑内盖间隙的减少量为4.15毫米。通过使用类固醇和常规的物理疗法，在初始阶段被诊断和治疗的眼角膜炎可明显减少眼睑间隙。

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