面神经炎的临床分型与预后关系的探讨  

THE RELATIONSHIP BETWEEN CLINICAL CLASSIFICATION AND PROGNOSIS OF FACIAL PARALYSIS

作　　者：王兴林[1] 肖红雨[1] 高继亭[1] 金小茵[1] 马爱敏[1] 段红玲[1] 金淑珍[1] 

机构地区：[1]解放军总医院,100853

出　　处：《解放军医学杂志》2001年第8期619-620,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：为了探讨抬眉及提口角运动与面神经病变程度及预后的关系 ,作者观察了 2 18例面神经炎患者 1～ 3年的恢复情况。结果显示 ,抬眉及提口角有运动 44例为神经失用型 ,15～ 2 9天恢复 ;有微弱或明显的抬眉运动 93例为轻度病变型 ,病后 12～ 2 0天出现口角运动 ,2 4～ 40天恢复占 84% ;有微弱抬眉运动或无运动 ,提口角无运动为中度病变型 ,病后 2 0天～ 2个月出现抬眉及提口角运动 ,45例中 42例抬眉恢复正常 ,3例抬眉运动幅度恢复 2 5 %～ 5 0 % ,6 7%的患者留有后遗症及并发症 ;无抬眉及提口角运动为重度病变型 ,36例中 75 %的患者抬眉没有恢复或没有完全恢复 ,92 %的患者留有后遗症及并发症。提示抬眉及提口角运动可较准确地对面神经炎类型及预后进行分类。On the basis of motor status of the frontalis musecle and the mouth corner 4 to 20 days after the onset, the degree and prognosis of facial paralysis of 218 cases were evaluated for 1～3 years. 44 cases belonged to neurapraxic type. In this type,visible motor recovery of frontalis and mouth corner was observed in 15 to 29 days after onset. Mild paralysis type (93 cases), in whom visible motor power of mouth corner appeared following the motor recovery of frontalis 14～20 days after onset, showed a total recovery in 24 to 40 days (84%). In moderate paralysis type, slight or absent visible motor recovery of frontalis was observed. Visible frontalis and mouth corner motor power appeared 20 days to 2 months after onset, with normal frontalis recovery in 42 cases.In 3 cases frontalis motor power recovered for 25% to 50%, and in 45 cases (67%) residual symptoms and complications were observed. Severe paralysis type consisted of 75% of patients, 36 patients, in whom the frontalis did not completely recover and 92% had residual symptoms and complications.Therefore, according to motor status of the frontalis and mouth corner, facial paralysis could be classified in predicting the prognosis.

关 键 词：面神经麻痹 分类法 预后 

分 类 号：R745.1[医药卫生—神经病学与精神病学]