Neau J P, Rosolacci T, Pin J C, Gil R
Laboratoire d'électromyographie, hôpital Jean-Bernard, CHU la Milétrie, Poitiers, France.
Neurophysiol Clin. 1992 Dec;22(6):465-73. doi: 10.1016/s0987-7053(05)80021-8.
The blink reflex and stimulodetection of the facial nerve was studied during the first ten days, the 30th and 60th day and at the end of the sixth month in 91 patients with Bell's palsy. In patients with present R1 during the first ten days, there was a remarkable tendency towards a satisfactory recovery without complications. On the contrary using this single test, it is impossible to determine with 100% accuracy, which Bell's palsy will have an unsatisfactory recovery with severe dysfunction. The blink reflex seems to be a useful test for predicting the prognosis in an early stage of the paralysis. The association of the blink reflex and stimulodetection of the facial nerve allows to evaluate the risk of sequelae by the means of different electrophysiological patterns.
对91例贝尔面瘫患者在发病后的前十天、第30天、第60天以及第六个月末进行了眨眼反射和面神经刺激检测。前十天存在R1波的患者，有显著的趋势可实现满意恢复且无并发症。相反，仅使用这一单一检测，无法100%准确判定哪些贝尔面瘫患者会恢复不佳并伴有严重功能障碍。眨眼反射似乎是预测面瘫早期预后的一项有用检测。眨眼反射与面神经刺激检测相结合，能够通过不同的电生理模式评估后遗症风险。
