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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">pmj</journal-id><journal-title-group><journal-title xml:lang="ru">Тихоокеанский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Pacific Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1609-1175</issn><publisher><publisher-name>TGMU</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17238/PmJ1609-1175.2018.2.43-45</article-id><article-id custom-type="elpub" pub-id-type="custom">pmj-232</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL RESEARCHES</subject></subj-group></article-categories><title-group><article-title>Методы оптимизации лечения послеоперационного пареза мимической мускулатуры у пациентов с доброкачественными новообразованиями слюнных желез</article-title><trans-title-group xml:lang="en"><trans-title>Methods for optimizing the treatment of postoperative paresis of mimic muscles in patients with benign neoplasms of the salivary glands</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковалевский</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovalevskiy</surname><given-names>A. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бочарников</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Bocharnikov</surname><given-names>A. A.</given-names></name></name-alternatives><email xlink:type="simple">m.d._bo@dr.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Военно-медицинская академия им. С.М. Кирова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Military and Medical Academy named after S.M. Kirov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Приморский центр микрохирургии глаза; Тихоокеанский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Primorskiy Center of Eye Microsurgery; Pacific State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>28</day><month>06</month><year>2018</year></pub-date><volume>0</volume><issue>2</issue><fpage>43</fpage><lpage>45</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ковалевский А.М., Бочарников А.А., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Ковалевский А.М., Бочарников А.А.</copyright-holder><copyright-holder xml:lang="en">Kovalevskiy A.M., Bocharnikov A.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.tmj-vgmu.ru/jour/article/view/232">https://www.tmj-vgmu.ru/jour/article/view/232</self-uri><abstract><p>Наблюдали 70 человек 18-86 лет с парезом лицевого нерва после оперативного лечения доброкачественных новообразований слюнных желез. Пациенты, получавшие традиционное медикаментозное лечение (33 человека), сформировали контрольную, пациенты, получавшие комплексное лечение (37 человек), - основную группу. В комплексное лечение помимо медикаментов входили методы иглотерапии и гирудотерапии. У пациентов основной группы уже через месяц отсутствовали нарушения функций мимических мышц в покое и при произвольных движениях, патологические непроизвольные движения и синкинезии. Восстанавливалась симметрия лица, соответствовавшая морфофизиологическим особенностям индивидуума. В контрольной группе время реабилитации доходило до 6 месяцев.</p></abstract><trans-abstract xml:lang="en"><p>Objective. The study objective is to optimize the complex therapy of postoperative complications in patients with benign neoplasms of the salivary glands using reflexotherapy, hirudotherapy and drug treatment. Methods. The observation included 70 people aged 18-86 (42 women and 28 men) with paresis of the facial nerve after operative treatment of benign neoplasms of the salivary glands. Patients who received drug therapy (33 patients) formed the 1st (control) group, patients who received complex treatment (37 people) - the 2nd (main) group. In complex treatment, in addition to medications, there were methods of acupuncture and hirudotherapy. Results. According to the electromyography, the amplitude of the M-response in the patients of the main group, in contrast to the control group, significantly increased one month after the initiation of therapy. The magnitude of the duration of the M-response in the main group significantly decreased after a month, and in the control group practically did not change during this period. In the patients of the main group, in a month there were no disturbances in the functions of facial muscles at rest and with arbitrary movements, pathological involuntary movements and syncopeesis. The symmetry of the face corresponding to the morphophysiological features of the individual was restored. The rehabilitation time was up to 6 months in the control group. Conclusios. The study showed the undeniable advantages of a comprehensive approach using acupuncture and hirudotherapy, as a supplement to basic medical treatment, in patients operated on for benign salivary glands.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>парез лицевого нерва</kwd><kwd>послеоперационная реабилитация</kwd><kwd>акупунктура</kwd><kwd>гирудотерапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>paresis of facial nerve</kwd><kwd>postoperative rehabilitation</kwd><kwd>acupuncture</kwd><kwd>hirudotherapy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Пачес А.И. Опухоли слюнных желез // Пачес А.И. Опухоли головы и шеи. М.: Медицина, 2004. С. 222-249</mixed-citation><mixed-citation xml:lang="en">Пачес А.И. Опухоли слюнных желез // Пачес А.И. Опухоли головы и шеи. М.: Медицина, 2004. 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