摘要
目的更好地评价贝尔面瘫的疗效和预后。方法对1998年1月至2006年3月在我院接受非手术治疗的66例贝尔面瘫病例作回顾性分析。病例根据治疗方式分为二组：抗病毒组和非抗病毒对照组，再根据开始治疗时间、起效时间和面功能计分评价明细分类。治疗30—40d后利用面功能计分评价，并与治疗前对照，以限定的标准进行分析。结果①抗病毒治疗组（36例）和对照组（30例）治愈率分别为77．8％和73．3％，无显著性差异。②开始治疗时间（1d以内、1—10d、11—30d和30d以上）的治愈率分别是100％、82．6％、38．5％和0，四者比较差异显著。③轻度（25例）治愈率100％，中度（18例）88．9％，重度（23例）39．1％，差异性显著。④起效时间恢复满意组（平均10．2±1．3d）与不满意组（平均25．6±2．8d）间差异非常显著。结论①抗病毒治疗对单纯的贝尔面瘫疗效不显著。②急性期贝尔面瘫早期药物治疗疗效好，手术治疗应慎重。③除面神经电图外，开始治疗时间、起效时间和面功能计分评价亦可作为贝尔面瘫预后的参考指标。
Objective The objective was to better evaluate the curative effect and the prognostis on Bell palsy. Methods Retrospective analysis was conducted on 66 cases of Bell palsy on non - surgical treatment from 1998.1 to 2006.3 . The patients enrolled were divided into 2 groups according to treatment methods ： the troop with antivirus treatment, and the controls without it. All information of the cases was classified in terms of the time to begin treatment, the time to show improvement and scoring evaluation of facial function. After therapy of 30 -40 days the cases were appraised in facial nerve scoring and compared with before therapy, Each cases enrolled was reanalyzed according to strictive criterions. Results ①The satisfactory recovery rate of the troop with antivirus（36 cases）, the controls （30 cases） was 77.8% and 73.3%, respectively. The difference was not distinct . ②The curative ratio of the patients who were treated in 1 day, in 1 - 10 days, in 10 - 30 days and after 30 days was 100% ,82.6% ,38.5% and 0, visibly dissimilarly.③The curative ratio of the gentleness （ 100% ）, the middle （ 88.9% ） and the severity （ 39. 1% ） was not significantly identical. ④There was clear difference in average time to show improvement between satisfactory （ 10.2 ±2.8 days） and unsatisfactory recovery group （25.6 ±1.3 days）. Conclusion ①The treatment of antivirus have no effect on pure Bell palsy. ②The non - surgical curative effect in times on acute Bell palsy is remarkable ,we must to use restrainedly surgical treatment. ③In addition to electro - neuregram（ ENoG）, the time to begin treatment, the time to show improvement and scoring evaluation of facial function can also be regarded as useful marks in prognostic evaluation of Bell palsy.
出处
《临床和实验医学杂志》
2007年第4期50-51,共2页
Journal of Clinical and Experimental Medicine
