摘要
目的:比较面瘫患者瞬目反射和面神经电图的应用价值。方法:这些面瘫患者经过四周基础治疗和(或)针灸治疗后,进行健、患侧瞬目反射(207例)和面神经电图(205例)检查比较。结果:瞬目反射治疗前健、患侧R1值的差异有极显著意义(P<0．01);治疗后健、患侧R1值的差异无显著意义 (P>0．05)。面神经电图患侧潜伏期延长者于治疗后均有所好转(P<0．05),波幅降低者治疗后无明显改善(P>0．05)。结论:面瘫患者治疗后瞬目反射改善非常明显,而面神经电图恢复存在明显的滞后现象,早期诊断(发病第一周)瞬目反射检查优于面神经电图,中后期面神经电图检查优于瞬目反射。
Objective：To compare the value of application of blink reflex（BR） and electroneurogra phy（ENoG） in patients with facial paralysis（Bell palsy） . Methods： BR（207 cases） and ENoG （205 cases） were performed at pre-treatment,and pre-treatment in the patients with facial paralysis. The patients were treated with western medicine or/and acupuncture and moxibustion for 4 weeks. Results： There were statistically significant differences between the BR of normal side and affected side in pre-treatment （P〈20.01）, and there were no statistically significant differences between the BR of normal side and af feeted side in post-treatment（P〉0.05）. Delayed latency of ENoG in affected side was improved in post treatment（P〈20.05）. But reduced amplitude of ENoG in affected side was not improved in post-treatment（P〉0.05）. Conclusion： BR is greatly improved but delayed latency of ENoG still in post-treatment. Therefore BR is better than ENoG in early diagnosis（during the first week onset of facial paralysis）, but ENoG is better than BR in late diagnosis.
出处
《临床神经电生理学杂志》
2006年第1期12-14,共3页
Journal of Clinical Electroneurophysiology
基金
国家中医药管理局2000-2001临床研究课题基金资助(批准编号:国中医药科00-01LP50号)
