眼皮跳不停 醫師：用眼過多 臉部硬撐引起

[jlh6027]

嘉義市1名婦女日前眼皮跳不停，長達4個月，一度擔心是顏面神經麻痺或中風前兆，嘉義市聖馬爾定醫院檢查後，發現只是用眼過多、臉部硬撐引起，治療後已改善。

聖馬爾定醫院神經內科醫師葉柏延表示，多數民眾眼皮跳動情況，並不會一直持續，通常2、3天後，或者只是幾分鐘內就會自動停止，並不會造成困擾，不過，日前1名年近40歲的婦女左下眼皮跳個不停，時間長達4個月，求助醫師才發現，則是用眼過度，及臉部硬撐惹的禍。

葉柏延指出，患者近半年每天都要喝1到2杯咖啡，也會長時間盯著電腦螢幕工作，而且，年過35歲後，因擔心眼角冒出魚尾紋，常常不敢大笑或擠眉弄眼，因此，不論說話或吃東西，都想辦法用力撐住臉部表情，避免牽動眼睛週遭的肌肉形成皺紋。不過，臉部硬撐著不笑的後果，卻適得其反，眼框肌肉長時間用力過度且未能適當的休息，容易誘發肌肉顫動，患者就是因為硬撐，眼皮才會跳不停。

葉柏延說，一般所謂的「眼皮跳」，其實是眼框肌肉過度躍動，常見原因是精神緊張或疲勞造成眼框肌肉暫時性缺血，而導致肌肉不自主增加收縮頻率，以獲得更多血液供應。因此，多數人只要充分休息後，眼皮跳動情況就能自動停止；輕柔且適當的按摩與熱敷也能減緩肌肉的疲勞，可以解除眼皮跳不停的困擾。

葉柏延強調，臨床上，其他疾病也會引起眼皮跳動，如腫瘤壓迫神經或周邊神經系統病變，不過，跳動範圍會擴大至整個臉半邊顏面或出現嘴角偏斜、半面痙攣、不自主眨眼次數增加、視力模糊等症狀，因此，建議仍需進一步診斷與治療。

[herotopone]

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