Ekstrand T, Glitterstam K
Acta Otolaryngol. 1979 Jan-Feb;87(1-2):9-15. doi: 10.3109/00016487909126382.
In 111 patients with idiopathic peripheral facial paralysis (Bell's palsy) the prognosis was established during the first days of the disease, using sialometry and the stapedius reflex test in 102 patients. A poor prognosis was indicated in 36 patients. Treatment with adrenocorticotrophic hormone (ACTH) was commenced within 10 days (in the majority within 5 days) of the onset of the paresis in 31 of those patients with a poor prognosis. The recovery rate in the ACTH-treated group was superior compared with the untreated control group of patients with a poor prognosis. The difference is statistically significant. Those patients with a good prognosis were not treated but merely followed up. Some factors which could influence the result of the treatment are considered.
在111例特发性周围性面神经麻痹（贝尔麻痹）患者中，在疾病发作的头几天对102例患者采用唾液分泌测定法和镫骨肌反射试验确定预后。36例患者预后不良。其中31例预后不良的患者在麻痹发作后10天内（大多数在5天内）开始使用促肾上腺皮质激素（ACTH）治疗。ACTH治疗组的恢复率优于未治疗的预后不良对照组。差异具有统计学意义。预后良好的患者未接受治疗，仅进行随访。文中考虑了一些可能影响治疗结果的因素。
