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评估肉毒毒素应用前后面瘫患者的体像。

Evaluation of the body image of patients with facial palsy before and after the application of botulinum toxin.

机构信息

Nursing Postgraduate Program of Guarulhos University, Guarulhos, Brazil.

Plastic Surgery Division, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, Sao Paulo, Brazil.

出版信息

Int J Dermatol. 2019 Oct;58(10):1175-1183. doi: 10.1111/ijd.14414. Epub 2019 Mar 25.

DOI:10.1111/ijd.14414
PMID:30907435
Abstract

BACKGROUND

The face is responsible for nonverbal communication. Facial nerve paralysis, which is the weakness or paralysis of the nerve responsible for the innervation of the muscles that perform these movements, is a condition that can raise serious physical, psychological, social, professional, aesthetic, and functional disorders. The physical aspect has a disastrous effect on the patient's self-image and emotional state. This study aimed to evaluate the self-image of patients with facial paralysis through the Body Image Quality Life Index (BIQLI), pre- and postclinical treatment with botulinum toxin.

METHOD

A prospective, exploratory, comparative cohort was carried out, with quantitative analysis of the variables with 40 patients with facial paralysis treated by the Ambulatory of Plastic Surgery of Hospital das Clínicas, Faculty of Medicine, University of São Paulo. The Sociodemographic and clinical instrument and the BIQLI were applied. Descriptive statistics and statistical inference were used to perform the analyses.

RESULTS

It was found that the majority of the paralysis occurred in female individuals (55%), with an average age of 47,875 (DP), single and married (38.88%), and with secondary education completed (16.66%).

CONCLUSION

The body image evaluation of patients with facial paralysis submitted to the botulinum toxin treatment showed an ability to identify the positive impact of therapy in the period between 15 and 180 days by the BIQLI.

摘要

背景

面部负责非言语交流。面神经麻痹是支配这些运动的肌肉的神经无力或麻痹,会导致严重的身体、心理、社会、职业、审美和功能障碍。身体方面会对患者的自我形象和情绪状态产生灾难性的影响。本研究旨在通过身体意象质量生活指数(BIQLI)评估面瘫患者的自我形象,该指数评估了在接受肉毒毒素临床治疗前后的情况。

方法

采用前瞻性、探索性、对比队列研究,对 40 名在圣保罗大学医学院附属医院整形外科门诊接受治疗的面瘫患者进行了定量分析。应用社会人口统计学和临床工具以及 BIQLI。采用描述性统计和统计推断进行分析。

结果

发现大多数麻痹发生在女性(55%),平均年龄为 47.875(DP),单身和已婚(38.88%),完成中学教育(16.66%)。

结论

通过 BIQLI,对面瘫患者接受肉毒毒素治疗后的身体意象进行评估,发现患者在 15 至 180 天期间能够识别出治疗的积极影响。

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