316例Bell’s面瘫患者注意力与暗示性影响因素研究  

Influencing Factors of Attention and Suggestibility of Patients with Bell's Palsy

作　　者：黄波[1] 徐沙贝[1] 张晨艳[1] 王伟[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院神经内科,武汉430030

出　　处：《神经损伤与功能重建》2011年第5期347-352,共6页Neural Injury and Functional Reconstruction

基　　金：973计划(No.2006CB504502)

摘　　要：目的：评价Bell’s面瘫患者注意力及暗示性程度并探讨其影响因素。方法：Bell’s面瘫患者316例,采用House Brackmann（HB）分级量表评估患者面瘫程度,划消实验、暗示性测验评估面瘫患者注意力和暗示性程度。根据病程将患者分为急性期（≤72 h）和亚急性期（72~168 h）;根据病情程度将患者分为轻度（HB评分Ⅰ~Ⅲ级）和重度（HB评分Ⅳ~Ⅵ级）。独立样本t检验比较不同病程和病情患者HB评分、注意力评分、暗示性评分;Spearman等级相关分析和多元逐步回归分析探讨影响面瘫患者注意力、暗示性的因素。结果：急性期、轻度面瘫患者注意力评分高于亚急性期、重度面瘫患者;急性期、轻度面瘫患者暗示性评分低于亚急性期、重度面瘫患者;面瘫患者HB评分与注意力呈负相关,与暗示性程度呈正相关;影响注意力的主要因素有HB评分、病程、文化程度、年龄等;影响暗示性的主要因素有病情程度、病程、性别、年龄、文化程度等。结论：面瘫患者注意力下降,暗示性程度增强,主要与面瘫程度、病程、文化程度、年龄。Objective： To evaluate the attention and suggestibility of patients with Bell’s palsy and to explore the influencing factors.Methods： Three hundred and sixteen Bell’s palsy patients were recruited in this study.House-Brackmann（HB） grading scale was used to assess the severity of facial paralysis;Cancellation test and Suggestibility test were used to evaluate the attention and suggestibility of patients.The cases were divided into acute phase group（≤72 hour） and sub-acute group（72～168 hour） according to the course of the disease;and mild group（HB graded Ⅰ～Ⅲ） and severe group（HB graded Ⅳ～Ⅵ） according to the severity of the disease.Independent samples t-test was employed to compare the mean HB scores,attention scores,and suggestibility scores of patients in different groups;Spearman rank correlation analysis and multiple regression analysis were employed to explore the influence factors for attention and suggestibility.Results： The attention scores of the patients in the acute phase group and the mild group were higher than those in the sub-acute phase group and the severe group;HB scores were negatively related to the attention and positively related to the suggestibility;The HB scores,course of the disease,educational level,and age were the main influencing factors for the attention of patients with facial paralysis;The severity of disease,course of disease,gender,and educational level were the main influencing factors for the suggestibility of facial paralysis patients.Conclusion： The decline of attention and the increase of suggestibility for patients with facial paralysis are mainly related to the severity of facial paralysis,course of disease,education level,age,and gender

关 键 词：Bell’s面瘫 House-Brackmann分级量表 注意力 暗示性 

分 类 号：R741[医药卫生—神经病学与精神病学] R745.12[医药卫生—临床医学]