Wang Y
Second Affiliated Hospital of Tianjin Medical College.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1990 Jun;25(3):138-41, 189.
Twenty-two patients with Bell's palsy who had complete unilateral facial paralysis were selected for this study. Electroneurography (ENoG), nerve excitability test (NET), maximal stimulation test and facial nerve latency test were done on each patient. The patients were examined within 21 days of onset of facial paralysis and evaluated at least six months after onset to determine the degree of recovery of facial motor function. ENoG was the most accurate test for prognostic assessment of Bell's palsy when it was performed within 3 weeks after onset. When the response loss of ENoG on the involved side was 90% or less of that on the normal side, 83.3% of the patients had complete recovery of facial function, however, when loss was more than 90%, there was 70% chance for incomplete recovery. NET is a relatively accurate test, perhaps, it should be recommended because it is inexpensive and easy to manipulate.
本研究选取了22例患有贝尔麻痹且单侧面部完全瘫痪的患者。对每位患者进行了神经电图(ENoG)、神经兴奋性测试(NET)、最大刺激测试和面神经潜伏期测试。患者在面瘫发作后21天内接受检查,并在发病后至少6个月进行评估,以确定面部运动功能的恢复程度。当在发病后3周内进行时,ENoG是贝尔麻痹预后评估最准确的测试。当患侧ENoG反应丧失为正常侧的90%或更低时,83.3%的患者面部功能完全恢复,然而,当丧失超过90%时,不完全恢复的几率为70%。NET是一种相对准确的测试,也许应该推荐它,因为它价格便宜且易于操作。