面肌痉挛患者术后迟发性面瘫发生状况及影响因素  

Occurrence and influencing factors of delayed facial paralysis in patients with hemifacial spasm after surgery

作　　者：张海艳 张宁 ZHANG Haiyan;ZHANG Ning(Department of Neurosurgery,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan 471003,China)

机构地区：[1]河南科技大学第一附属医院神经外科,河南洛阳471003

出　　处：《中国医学工程》2021年第7期38-41,共4页China Medical Engineering

摘　　要：目的分析面肌痉挛患者术后迟发性面瘫发生状况及影响因素。方法选择2018年5月至2020年5月河南科技大学第一附属医院收治的70例面肌痉挛术后患者作为研究对象,术后随访30 d,根据《面瘫与面肌痉挛》判定患者术后迟发性面瘫发生状况。将因素纳入自变量并为其赋值,经多因素Logistic回归分析,得出面肌痉挛患者术后发生迟发性面瘫的影响因素。结果 70例面肌痉挛术后患者中发生迟发性面瘫6例(8.57%),未发生迟发性面瘫64例(91.43%);回归分析结果显示,病程较长、责任血管数≥2、面神经存在压痕是面肌痉挛术后发生迟发性面瘫的危险因素(OR=6.264、12.222、27.000,P<0.05);围术期使用尼莫地平是发生迟发性面瘫的保护因素(OR=0.071,P<0.05)。结论面肌痉挛患者术后发生迟发性面瘫主要与疾病病程、责任血管数、面神经压痕及围术期尼莫地平的使用密切相关,因此应重点关注以上因素,并予以积极干预,预防迟发性面瘫的发生。【Objective】To analyze the occurrence and influencing factors of delayed facial paralysis in patients with hemifacial spasm after surgery.【Methods】Seventy patients with hemifacial spasm admitted to our hospital from May 2018 to May 2020 were selected as the research subjects,they were followed up for 30 days,according to"facial paralysis and facial spasm"to determine the occurrence of delayed facial paralysis after surgery.Factors were included in the independent variables and values were assigned to them,by multivariate logistic regression analysis,the influencing factors of delayed facial paralysis in patients with facial spasm after surgery were obtained.【Results】Among the 70 patients with hemifacial spasm,6(8.57%)had delayed facial paralysis and 64(91.43%)didn't have delayed facial paralysis;regression analysis showed that longer course of disease,number of offending vessels≥2 and facial nerve indentation were risk factors for delayed facial paralysis after hemifacial spasm surgery(OR=6.264,12.222,27.000,P<0.05);the use of nimodipine during the perioperative period was a protective factor for the occurrence of delayed facial paralysis(OR=0.071,P<0.05).【Conclusion】The occurrence of delayed facial paralysis in patients with hemifacial spasm after surgery is closely related to the course of disease,the number of offending vessels,facial nerve indentation and the use of nimodipine during the perioperative period,therefore,the above factors should be focused on and actively intervened to prevent the occurrence of delayed facial paralysis.

关 键 词：面肌痉挛 迟发性面瘫 病程 责任血管数 尼莫地平 

分 类 号：R745.12[医药卫生—神经病学与精神病学]