PROGNOSIS IN BELLS-PALSY BASED ON SYMPTOMS, SIGNS AND LABORATORY DATA

PROGNOSIS IN BELLS-PALSY BASED ON SYMPTOMS, SIGNS AND LABORATORY DATA
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DOI:
10.3109/00016488209130898
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发表时间:
1982-01-01
影响因子:
1.4
通讯作者:
ODKVIST, LM
ODKVIST, LM
中科院分区:
医学4区
文献类型:
--
作者:
HYDEN, D;SANDSTEDT, P;ODKVIST, LM

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对197例贝尔麻痹的预后进行了研究。分别于发病后即刻、1 wk、1 mo进行调查。然后每2个月一次,直至完全恢复或1年。记录病史、临床结果和实验室数据。进行了面部肌电图[肌电图]、纯音测听、镫骨肌反射试验和味觉电测定。观察愈合时间、最终愈合质量和后遗症数量。将所有数据输入计算机并计算相关性。最终愈合程度与初始EMG、镫骨肌反射试验和味觉电测量以及第1次访视时运动程度的临床评价密切相关。肌电图、味觉电图、镫骨肌反射试验和流泪评估的结合显示出较高的预后价值。
A prognostic study was performed in 197 consecutive cases of Bell''s palsy. The patients were investigated soon after onset, after 1 wk, after 1 mo. and then every 2nd month until total recovery or 1 yr had elapsed. Case histories, clinical findings and laboratory data were noted. Facial EMG [electromyography], pure tone audiometry, stapedius reflex test and electrogustometry were performed. The healing time, quality of final healing and amount of sequelae were noted. All data were fed to a computer and correlations were calculated. The final degree of healing was well correlated to the initial EMG, the stapedial reflex test and the electrogustometry but also to the clinical evaluation of the degree of motility at the 1st visit. A combination of EMG, electrogustometry, stapedial reflex test and evaluation of lacrimation showed a high rate of prognostic value.