Liu Sufu, Li Jiandong, Wang Xueyong, Zhao Liang, Ji Wei, Wang Jia, Bai Juan, Wei Bojun
Department of Otolaryngology-Head and Neck Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013 Jul;27(13):698-700.
To study on relationship between diverse handling time following onset and clinical prognosis of cases with Bell palsy.
Two hundred and sixteen cases with Bell palsy, who were admitted in our department between Jun. 2006 and Dec. 2009, were collected and divided into 6 groups according to disease time: 1-2 months, > 2 - 3 months, > 3 - 4 months, > 4 - 5 months, > 5 - 6 months, and > 6 months. Cases in all groups received subtotal course decompression of facial nerve and other compound treatment, and the relationship between handling timing and clinical prognosis were compared.
It was found that the difference of prognosis and handling timing was statistically significant, after comparison between all groups with Facial Grading Standards (H-B) as the standard to assess prognosis.
Clinical prognosis of cases with Bell palsy was related to alternative handling time, and subtotal course decompression of facial nerve was recommended to be performed as early as possible for those cases who were irresponsive after conservative treatment for one month.
研究贝尔面瘫患者发病后不同处理时间与临床预后的关系。
收集2006年6月至2009年12月在我科收治的216例贝尔面瘫患者，根据病程分为6组：1 - 2个月、＞2 - 3个月、＞3 - 4个月、＞4 - 5个月、＞5 - 6个月、＞6个月。所有组患者均接受面神经次全减压及其他综合治疗，并比较处理时机与临床预后的关系。
以面部分级标准（H - B）为评估预后的标准，对所有组进行比较后发现，预后与处理时机的差异具有统计学意义。
贝尔面瘫患者的临床预后与处理时间有关，对于保守治疗1个月后无反应的患者，建议尽早进行面神经次全减压。
