| 米芳,吕富荣,张谊,张潘英,李秋琦,文铮铮,杨帆.Ramsay-Hunt综合征的预后影响因素分析[J].中国康复,2022,37(9):519-522 |
| Ramsay-Hunt综合征的预后影响因素分析 |
| Analysis of prognostic factors of Ramsay Hunt syndrome |
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| DOI： |
| 中文关键词: Ramsay-Hunt综合征 周围性面瘫 预后 |
| 英文关键词: Ramsay-Hunt syndrome peripheral facial paralysis prognosis |
| 基金项目:国家自然科学基金（81570938）；陕西省重点研发计划项目重点产业创新链（2022ZDLSF03-08） |
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| 中文摘要: |
| 目的：探讨影响Ramsay-Hunt综合征的预后因素，为临床进一步治疗及预后判断提供科学依据。方法：对2016年9月～2021年3月在西安市中医医院接受治疗的52例Ramsay-Hunt综合征患者的人口学资料、临床特征及治疗情况进行回顾性分析，以House-Brackmann（HB）分级法作为面神经功能的评估标准，根据患者治疗后的面瘫恢复情况分为预后良好组（n=37）和预后不良组（n=15），采用Logistic多因素回归分析影响Ramsay-Hunt综合征面瘫的预后相关因素。结果：性别、发病侧别、冠心病、高脂血症、有无听力下降及头晕、针灸治疗时间与Ramsay-Hunt综合征面瘫的预后相关性无统计学差异。多因素回归分析显示，发病年龄、糖尿病、病初面瘫程度、开始治疗时机、治疗方案对预后判断有统计学意义(P<0.05) 。结论：年龄、发病时面瘫严重程度、糖尿病、开始治疗时机及治疗方案是影响Ramsay-Hunt综合征面瘫的预后独立因素。 |
| 英文摘要: |
| Objective: To investigate the prognostic factors of Ramsay-Hunt syndrome, and to provide scientific basis for further clinical treatment and prognosis judgment. Methods: The demographic data, clinical features and treatments of 52 patients with Ramsay-Hunt syndrome who were treated in Xi’an Hospital of Traditional Chinese Medicine from September 2016 to March 2021 were retrospectively analyzed. House-brackmann (HB) grading method was used as the evaluation standard of facial nerve function. According to the recovery of facial paralysis after treatment, patients were divided into good prognosis group (n=37) and poor prognosis group (n=15). Logistic multifactor regression was used to analyze the prognostic factors of facial paralysis in Ramsay-Hunt syndrome. Results: There was no significant correlation between the prognosis of facial paralysis in Ramsay-Hunt syndrome and gender, hearing loss or dizziness, coronary heart disease, hyperlipidemia, and the duration of acupuncture treatment in patients. Multivariate regression analysis showed that age of onset, diabetes mellitus, severity of initial facial paralysis, onset to start of treatment and treatment plan were statistically significant for prognosis (P<0.05). Conclusion: Age of onset, severity of initial facial paralysis, diabetes mellitus, onset to start of treatment and treatment plan were independent factors affecting the prognosis of facial paralysis in Ramsay-Hunt syndrome. |
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