贝尔麻痹患者早期瞬目反射、面神经电图的改变及其与面神经功能损害的关系  

Relationship among Characteristic of Blink Reflex, Facial Nerve Electroneurography and Functional Lesion at the Early Stage of Bell's Palsy

作　　者：余青云[1] 洪铭范[1] 程静[1] 

机构地区：[1]广东药学院附属第一医院神经内科,广东广州市510080

出　　处：《中国康复理论与实践》2014年第7期663-666,共4页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的 探讨贝尔麻痹患者早期瞬目反射、面神经电图的改变及其与面神经功能损害相关性。方法 对25例贝尔麻痹早期患者进行瞬目反射与面神经电图检测，比较其阳性率，并分别根据其检测结果 分为轻-中度损害、重度损害；同时按House-Blackmann（H-B）面神经功能评价分级标准进行面瘫程度评估，Ⅰ级为正常，Ⅱ-Ⅲ级为轻-中度、Ⅳ-Ⅵ级为重度。结果 H-B面瘫分级评估，轻-中度面瘫占44%，重度面瘫占56%。瞬目反射检测阳性率达100%，其中轻-中度损害占28%，重度损害占72%；瞬目反射检测与H-B面瘫分级评估一致（P〉0.05）。面神经电图检测阳性率52%，其中轻-中度损害占44%，重度损害占8%，与H-B面瘫分级评估不一致（P〈0.05）。结论 瞬目反射较面神经电图能更好反映贝尔麻痹早期损害情况。Objective To investigate the relationship among blink reflex, facial nerve electroneurography and functional lesion at the early stage of Bell＇s palsy. Methods Blink reflex and electroneurography of facial nerve were performed in 25 patients with early Bell＇s palsy. They were divided into mild to moderate damage and severe damage according to the result. They were evaluated by House-Blackmann （H-B） scale and were identified：grade Ⅰ, normal;grade Ⅱ-Ⅲ, mild-moderate facial paralysis;grade Ⅳ-Ⅵ, severe facial paralysis. Results The positive rate of blink reflex was 100%, with the proportion of mild-moderate damage was 28%and severe damage was 72%. H-B scale evaluation showed the percentage of mild-moderate facial paralysis was 44%, severe facial paralysis was 56%, which was consistent with blink reflex （P〉0.05）. The positive rate of electroneurography was 52%, with the proportion of mild-moderate damage was 44%and severe damage was 8%, which was inconsistent with H-B scale evaluation （P〈0.05）. Conclusion Blink reflex is preferable to electroneurography in evaluating facial paralysis degree at the early stage of Bell＇s palsy.

关 键 词：贝尔麻痹 瞬目反射 神经电图 面神经 

分 类 号：R745.12[医药卫生—神经病学与精神病学]