《中国康复理论与实践》

《中国康复理论与实践》 ›› 2001, Vol. 7 ›› Issue (04): 172-174.

• 临床康复 • 上一篇    下一篇

I/t曲线0.05ms强度值对面神经炎预后评价的临床意义

肖红雨; 王兴林; 金小茵; 高继停; 张茜   

  1. 解放军总医院理疗科 北京市 100853
  • 收稿日期:2001-07-17 出版日期:2001-12-25 发布日期:2001-12-25

Clinical significance of 0.05 ms square wavelength in diagnosing damage degree and predicting prognosis of facial paralysis

XIAO Hong-yu,WANG Xing-lin,JIN Xiao-yin,et al   

  1. Physiotherapy,PLA General Hospital,Beijing 100853
  • Received:2001-07-17 Published:2001-12-25 Online:2001-12-25

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被引次数

11

摘要： 目的本文探讨了I/t曲线方波0.05ms强度值对面神经炎病变及预后评价的临床意义。方法根据测得的236例面神经炎患者健侧及30例完全性失神经患者的额枕肌额腹、口轮匝肌0 .05ms强度值,制定区分轻、中、重面神经炎的标准。采用House Brachmann标准,随访观察了198例面神经炎患者1—3年的恢复情况。结果113例轻度面神经炎患者有89%在40天以内恢复,112例恢复到H—BⅠ级;49例中度患者有82%在4—5个月之内恢复;36例重度患者患侧出现提口角运动的潜伏时间为2—5个月,92%有并发症及后遗症。结论本方法能较好地区分轻、中、重度面神经炎,为其预后提供客观依据。

关键词: 面神经炎, 分类法, 预后

Abstract: ObjectiveIn our study, the electrical current intensities of 0.05ms square wavelenth in I/t curve were explored in diagnosing damage degree and predicting prognosis of facial paralysis.MethodsAccording to tested 0.05ms intensity values of fronto-occipital muscle and orbicular muscle of mouth in healthy side of 236 cases with facial paralysis and that values of 30 cases with completely-absent nerve, the standard of diagnosing slight, moderate and severe facial paralysis was made. A follow-up survey for the recovery of 198 cases evaluated by House-Brachmann facial nerve grading system was made for one to three years.ResultsIt is found that there were 113 slight cases and 89% of them recovered in 40 days, 112 cases reached to H-B Ⅰgrade; 82% of 49 moderate cases recovered in 4-5 months; 36 severe cases appeared visible mouth corner movement in 2-5 months after onset, and 92% of them had complications or sequelae.Conclusions Intensities of 0.05ms square wavelenth can help in diagnosing damage degree and predicting prognosis of facial paralysis.

Key words: facial paralysis, classification, prognsis