神经传导检测对急性面神经炎预后的临床价值  

Detection of nerve conduction on the clinical value of the prognosis of acute facial paralysis

作　　者：刘维洲[1] 陈佳[1] 

机构地区：[1]铜陵市人民医院神经内科,安徽244009

出　　处：《安徽卫生职业技术学院学报》2013年第5期26-27,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:分析面神经炎患者早期面神经传导检测(NCS)指标,探讨其在急性面神经炎早期诊断及预后评估中的临床价值。方法:68例面神经炎患者在发病1周内进行双侧面神经传导检测,并比较患侧、健侧的潜伏期与振幅,并对所有患者进行随访6个月,评估其面肌恢复情况。结果:68例患者患侧潜伏期不同程度延长,振幅不同程度降低,其中2例患者诱发不出运动传导振幅,呈病理电静息状态,患侧与健侧相比,差异有统计学意义(P<0.05);随访6个月后,43例痊愈,18例显效,5例有效,2例无效,总有效率97.06%。结论:面神经传导检测可作为面神经损伤早期评价的客观指标之一,并可帮助判断预后,有着重要的临床价值。Objective：To analysis the facial nerve conduction studies in patients with facial paralysis, discuss the clinical value of it on early diagnosis and prognosis evaluation. Methods：The incubation period and amplitude of nerve conduction of both healthy and affected sides in 68 patients within a week were detected and compared,and all pa- tients were followed up for 6 months, evaluated the facial nerve recovery. Results：All of the incubation period and am- plitude of facial nerve in affected sides were declined, there were 2 patients with no motor conduction induced, showed pathological electric resting, there were a significiant difference in incubation period and amplitude between the healthy and affected sides （P〈0.05）. After six months follow-up, 43 patients healed, 18 cases markedly improved, 5 cases effective, and 2 cases ineffective, the total effective rate was 97.06%.Conclusion：The detection of facial nerve conduction studies can be used as one of the objective indexes for evaluation of facial nerve injury early, and can help determine the prognosis, which has important clinical value.

关 键 词：面神经炎 神经传导 早期评价 预后 

分 类 号：R745.1[医药卫生—神经病学与精神病学]