Effect of Aging on the Prognosis of Bell's Palsy
Effect of Aging on the Prognosis of Bell's Palsy
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DOI：
10.1097/mao.0b013e3182829636
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发表时间：
2013-06-01
影响因子：
2.1
通讯作者：
Yeo, Seung Geun
中科院分区：
文献类型：
--
作者：
Lee, Ho Yun;Byun, Jae Yong;Yeo, Seung Geun
目的：对贝尔麻痹患者进行了一项大型病例研究，以确定年龄在流行病学特征和趋势方面的差异，并确定年龄是否是康复的重要预后因素。研究设计：回顾性研究。单位：三级转诊中心。干预措施：从1998年到2011年，1362名诊断为贝尔麻痹的患者参加了这项研究。评估了基于年龄的流行病学特征、相关疾病和相关症状、电生理测试结果以及年龄对最终结果的影响。结果：贝尔麻痹以11 ~ 40岁男性多见，其后以女性多见（p = 0.021）。耳周疼痛、耳鸣、糖尿病、高血压患者的比例均随年龄增长而增加（p < 0.001），但不同年龄组间康复率无显著差异（p < 0.05）。然而，我们发现最终的恢复受较低的初始分级、伴随的高血压和较年轻的年龄的影响。结论：虽然较年轻的年龄被认为是恢复的主要预后因素，但年龄的影响可能很小，因为年龄组之间的恢复率相似。
Objectives: A large case study of patients with Bell's palsy was conducted to identify the difference in epidemiologic characteristics and trends according to age and to ascertain whether age is a significant prognostic factor in recovery.Study Design: Retrospective study.Setting: Tertiary referral center.Interventions: From 1998 to 2011, 1,362 patients diagnosed with Bell's palsy were enrolled in this study. Age-based epidemiologic characteristics, associated diseases and associated symptoms, results of electrophysiologic testing, and impact of age on the final outcome were assessed.Results: Bell's palsy was much more common in men aged 11 to 40 years, after which, it became more common in women (p = 0.021). The proportions of patients with pain around the ear, hyperacusis, diabetes, and hypertension all increased with age (p < 0.001), but recovery rate did not differ among age groups (p > 0.05). However, we found that final recovery was influenced by lower initial grade, accompanying hypertension and younger age, in that order.Conclusion: Although younger age were thought to be a major prognostic factor for recovery, the effect of age may be small because recovery rates were similar among age groups.