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中文摘要: 目的 研究影响周围性面神经麻痹预后的相关因素，探讨缩短病程、减少后遗症的关键因素。 方法 对 2017 年 9 月— 2019 年 1 月到玉溪市人民医院门诊治疗的62例周围性面神经麻痹患者的人口学资料、临床特征及治疗情况进行回顾性统计分析。以 House-Brackmann分级法作为面神经功能的评估标准。 结果 周围性面神经麻痹各年龄段均可发病，性别分布差异无统计学意义(P＞0.05)；超过40岁后，伴有高血压或糖尿病，面神经损伤在鼓索支以上， 发病到接受皮质类固醇激素治疗超过3天的患者，完全恢复率较低（P＜0.05）。结论 年龄、伴发疾病、病因、面神经损伤部位和发病后启动皮质类固醇激素治疗的时间对患者的预后及缩短恢复时间具有统计学意义。
Abstract:Objective To analyze the factors that affect the prognosis of peripheral facial paralysis, and to probe into the important factors of shortening the course of disease and improving prognosis. Methods The retrospective cohort study included 62 patients with peripheral facial nerve palsy treated at the outpatient clinic at People's Hospital of Yuxi City from Septemper 2017 to January 2019. Facial function at the initial and follow-up visits were measured using the House-Brackmann (H-B) grading system. Results There was no significant difference in sex (P＞0.05). The factors that including over 40 years old,, hypertension, diabetes, injured part above chorda tympani branch, no prescribing steroid within 3 days after onset were associated with poor outcome of facial function (P＜0.05). Conclusion Age, concomitant diseases, etiology, the site of facial nerve injury, hypertension, diabetes and time to prescribing steroid after onset were found to be important factors for shortening the course of disease and improving prognosis .
文章编号：3202007102 中图分类号：R511 文献标志码：
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