特发性面神经麻痹后遗症危险因素的多因素Logistic回归分析  

Multifactors Logistic Regression Analysis on Risk Factors of Idiopathic Facial Paralysis with Residual

作　　者：黄樱[1] 李锋[2] 陈红[3] 

机构地区：[1]江西省赣南医学院第一附属医院神经内科,江西省赣州市341000 [2]赣南医学院预防教研系 [3]赣南医学院第一附属医院康复科

出　　处：《中国全科医学》2010年第11期1222-1224,共3页Chinese General Practice

摘　　要：目的探讨特发性面神经麻痹(idiopathic facial palsy,IFP)后遗症的危险因素及更有效的治疗方法。方法总结、分析965例IFP患者的临床资料,其中留有后遗症者129例。对可能与后遗症有关的危险因素进行Logis-tic回归分析。结果IFP后遗症的发病率为13.37%(129/965)。经Logistic回归分析表明,高龄、有糖尿病基础疾病史、面神经损伤节断、发病后是否及时就诊、早期是否使用皮质类固醇激素及抗病毒药物、是否及时应用针灸疗法是后遗症发生的主要影响因素,其中早期应用皮质类固醇激素及抗病毒药物、联合应用针灸疗法、及时就诊是保护性因素。结论对于面神经损伤平面较高,尤其是高龄患者,应及早接受规范的诊治,及早合理使用皮质激素及抗病毒药物,辅以针灸治疗。Objective To investigate the risk factors and effective therapy of idiopathic facial palsy （IFP） with residual. Methods Clinical data of 965 IFP patient including 129 patients with residual were analyzed. A Logistic regression analysis was conducted on risk factors possibly related to residual. Results The incidence of IFP sequelae was 13.37% （129/965）. Logistic regression analysis showed that its influencing factors were age, diabetic basic disease history, location of facial nerve injury, timely visits to doctors after onset, use of corticosteroids or antiviral drugs, timely use of acupuncture therapy, among which use of corticosteroids or antiviral drugs, combined use of acupuncture, and timely consulting doctors were protective factors. Conclusion Patients with a higher injury plane of facial nerve, especially elderly, should receive standard treatment as soon as possible, early rational use of corticosteroids and antiviral drugs, supplemented by acupuncture.

关 键 词：特发性面神经麻痹 后遗症 危险因素 LOGISTIC回归分析 

分 类 号：R745.12[医药卫生—神经病学与精神病学]