苏丹贝尔麻痹的流行病学与管理
The Epidemiology and Management of Bell's Palsy in the Sudan.
作者信息
Mustafa Ahmed Hassan Kamil, Sulaiman Ahmed Mohammed
机构信息
Department of Oral And Maxillofacial Surgery, University of Khartoum, Khartoum, Sudan.
出版信息
Open Dent J. 2018 Oct 25;12:827-836. doi: 10.2174/1874210601812010827. eCollection 2018.
BACKGROUND
Bell's palsy is an acute idiopathic facial nerve paralysis of sudden onset. It is the most common cause of lower motor neuron facial nerve paralysis with an annual incidence of 15-30 per 100,000.The objective of this work is to study the prevalence and the management of Bell's palsy in the Sudan. A descreptive retrospective cross-sectional study was carried at Khartoum Teaching Dental Hospital, Khartoum General Teaching Hospital.In the retrospective, the records and files of 698 patients with Bell's palsy, were reviewed in relation to age, gender, site, risk factors, season, and type of treatment.In addition, 48 patients with Bell's palsy were evaluated using the House-Brackman scale in relation to the above-mentioned variables.Therefore, a total number of 746 cases were studied. Fifty five percent of them were females and the remaining 45% were males, around 38% of them were in the age group 21-40 year. Fifty seven percent of the patients were affected on the right side of the face. Winter was the commonest season of onset where 53.5% of the cases occurred. Steroids are the commonly prescribed drugs in majority of the cases, accounting for 47.3%.
STUDY DESIGN
The study is a retrospective cross sectional hospital based study. The study was carried out in Khartoum Teaching Dental Hospital and in the Physiotherapy Department of Khartoum Teaching General hospital.The files and records of the patients with Bell's palsy in Khartoum Teaching Dental Hospital in the years 1/1/2004 -31/12/2008, and Khartoum Teaching General Hospital (physiotherapy department) in the years 2007- July 2009 (total number 746).
RESULTS
A total number of 746 cases were studied . Fifty five percent of them were females and the remaining 45% were male. Around 38% of them were in the group 21-40 year. Fifty seven percent of the patients were affected on the right side of the face. Winter was the commonest season of the onset where 53.5% of the cases occurred.
CONCLUSION
The study showed predominance of females. A peak incidence was seen in the age group 21-40 years. A predilection was found for the right side of face.
背景
贝尔面瘫是一种急性特发性面神经麻痹，起病突然。它是下运动神经元性面神经麻痹最常见的病因，年发病率为每10万人中有15 - 30例。本研究的目的是探讨苏丹贝尔面瘫的患病率及治疗情况。在喀土穆教学牙科医院和喀土穆综合教学医院进行了一项描述性回顾性横断面研究。回顾性地查阅了698例贝尔面瘫患者的记录和档案，涉及年龄、性别、发病部位、危险因素、季节及治疗类型。此外，使用House - Brackman量表对48例贝尔面瘫患者进行了上述变量相关的评估。因此，共研究了746例病例。其中55%为女性，其余45%为男性，约38%的患者年龄在21 - 40岁之间。57%的患者面部右侧受累。冬季是最常见的发病季节，53.5%的病例发生在冬季。大多数病例中常用的药物是类固醇，占47.3%。
研究设计
本研究是一项基于医院的回顾性横断面研究。研究在喀土穆教学牙科医院和喀土穆教学综合医院理疗科进行。查阅了喀土穆教学牙科医院2004年1月1日至2008年12月31日期间以及喀土穆教学综合医院（理疗科）2007年至2009年7月期间（共746例）贝尔面瘫患者的档案和记录。
结果
共研究了746例病例。其中55%为女性，其余45%为男性。约38%的患者年龄在21 - 40岁之间。57%的患者面部右侧受累。冬季是最常见的发病季节，53.5%的病例发生在冬季。
结论
该研究显示女性占主导。在21 - 40岁年龄组发病率最高。发现面部右侧更易受累。
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