眨眼反射对评估Bell麻痹预后的作用  

Prognostic Value of Blink Reflex in Patients with Bell’s Palsy

作　　者：张淑香[1] 王燕[1] 王长利[1] 许华[1] 

机构地区：[1]天津医学院第二附属医院耳鼻咽喉科

出　　处：《中华耳鼻咽喉科杂志》1994年第3期155-157,共3页Chinese Journal of Otorhinolaryngology

摘　　要：对３１名健康人进行眨眼反射（ＢＲ）与神经电图（ＥＮｏＧ）测试，制订出正常值。对６０例Ｂｅｌｌ麻痹患者在发病三周内进行神经兴奋性试验（ＮＥＴ）、ＥＮｏＧ及ＢＲ测试。结果表明：ＢＲ存在是预后好的指标，面瘫均完全恢复，预估准确率为１００％。ＢＲ消失做为预后差的指标，在第一周无预后诊断作用（因ＮＥＴ和ＥＮｏＧ检测例数少），在第二周不如ＥＮｏＧ和ＮＥＴ，在第三周具有与ＮＥＴ、ＥＮｏＧ相同的评估预后价值。Blink reflex(BR)and electroneurography(ENoG)were carried out in 31 healthy people to obtain normal value The manifestations of nerve excitability test(NET),ENoG and BR of 60 pa-tients with Bell’s palsy within 3 weeks of onset were studied.The results indicated that when the appear- ance of BR was regarded as good prognosis,facial paralysis recovered completely,the rate of accuracy of predicting facial paralysis was 100%, when the disappearance of BR was regarded as bad prognosis,it isn’t a useful test for evaluating prognosis of facial paralysis within the first week of onset(for very few cases tested with NET and ENOG),and less useful than ENOG and NET within the second week and similar to ENOG and NET within the third weed of onset.

关 键 词：面神经麻痹 眨眼 预后 

分 类 号：R745.120.7[医药卫生—神经病学与精神病学]