《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (09): 756-757.

• 临床研究 • 上一篇    下一篇

面神经炎I/t曲线扭结及数值分析

王兴林; 肖红雨; 蒋天裕; 李继华; 梁淑琴   

  1. 1.解放军总医院理疗科 北京市 100853;2.山东省交通医院康复科 山东济南市 250031
  • 收稿日期:2005-04-13 出版日期:2005-09-25 发布日期:2005-09-25

Analysis of twist and intensities of I/t curve in facial paralysis

WANG Xing-lin, XIAO Hong-yu, JIANG Tian-yu, et al   

  1. The Department of Physiotherapy, The General Hospital of PLA, Beijing 100853, China
  • Received:2005-04-13 Published:2005-09-25 Online:2005-09-25

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摘要： 目的探讨I/t曲线左移与扭结对面神经炎预后评价的临床意义。方法检测181例面神经炎患者(Bell's麻痹171例、Hunt综合征10例)患侧额枕肌额腹及上口轮匝肌的I/t曲线。病程评定标准:额枕肌额腹以抬眉动作恢复;口轮匝肌以患侧表情肌运动恢复到House-BrackmannⅠ、Ⅱ级,部分中度及重度病变恢复到稳定期时间为恢复时间。结果额枕肌额腹和口轮匝肌I/t曲线有扭结与无扭结者的恢复时间、性别无显著性差异;将I/t曲线左移限定在轻、中及重度,有扭结与无扭结者的恢复时间亦无显著性差异;扭结率以中度病变最高,其次是轻度病变口轮匝肌,而I/t曲线左移程度与恢复时间有非常高度显著性差异(P<0.001)。结论I/t曲线左移的程度对判定面神经病变程度及恢复时间有重要临床意义。

关键词: I/t曲线, 面神经麻痹, 预后

Abstract: ObjectiveTo explore the effect of left move and twists of I/t curve on predicting prognosis of facial paralysis.Methods181 cases with 171 Bell's palsy and 10 Hunt's syndrome were examined with I/t curve of frontal muscle and upper orbicularis. The assessing criterion of diseases course was determined according to the recovery time of frontal muscle evaluated by raising eyebrow, the recovery time of orbicularis ascertained by House-Brackmann Ⅰ, Ⅱ grades and stable phase in partial moderate and severe facial paralysis.ResultsThe recovery time of frontal muscle and orbicularis between twist and non-twist in I/t curve and in sex was not significant. The left move of I/t curve was confined to slight, moderate and severe arranges; the recovery time was not significant also. Twist rate in I/t curve was highest in moderate facial paralysis and then second in orbicularis of slight paralysis. The left move of I/t curve had a very significant relationship with recovery time of frontal muscle and orbicualris.ConclusionThe left move of I/t curve plays a very important role in determining nerve injury degrees and predicting prognosis of facial paralysis.

Key words: I/t curve, facial paralysis, prognosis