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基于症状、体征和实验室数据的贝尔麻痹预后

Prognosis in Bell's palsy based on symptoms, signs and laboratory data.

作者信息

Hydén D, Sandstedt P, Odkvist L M

出版信息

Acta Otolaryngol. 1982 May-Jun;93(5-6):407-14. doi: 10.3109/00016488209130898.

DOI:10.3109/00016488209130898
PMID:7102298
Abstract

A prognostic study was performed in 197 consecutive cases of Bell's palsy. The patients were investigated soon after onset, after one week, after one month and then every second month until total recovery or one year had elapsed. Case histories, clinical findings, and laboratory data were noted. Facial EMG, pure tone audiometry, stapedius reflex test and electrogustometry were performed. The healing time, quality of final healing and amount of sequelae were noted. All data were fed to a computer and correlations were calculated. The final degree of healing was well correlated to the initial EMG, the stapedial reflex test and the electrogustometry but also to the clinical evaluation of the degree of motility at the first visit. A combination of EMG, electrogustometry, stapedial reflex test and evaluation of lacrimation showed a high rate of prognostic value.

摘要

对197例贝尔面瘫患者进行了一项预后研究。患者在发病后不久、一周后、一个月后,然后每隔两个月进行调查,直至完全恢复或满一年。记录病史、临床检查结果和实验室数据。进行面部肌电图、纯音听力测定、镫骨肌反射测试和味觉电生理测试。记录愈合时间、最终愈合质量和后遗症数量。所有数据输入计算机并计算相关性。最终愈合程度与初始肌电图、镫骨肌反射测试、味觉电生理测试以及首次就诊时运动程度的临床评估密切相关。肌电图、味觉电生理测试、镫骨肌反射测试和泪液分泌评估相结合显示出较高的预后价值。

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