神经损伤与功能重建2025，Vol.20Issue(7)：408-413,6.DOI:10.16780/j.cnki.sjssgncj.20241313
肌电图对中重度特发性面神经麻痹的预后评估
Prognostic Evaluation of Moderate to Severe Idiopathic Facial Nerve Palsy by Electromyogra-phy
徐莹鑫 1袁景林 1赵留庄 1杨海华1
作者信息
- 1. 北京市大兴区人民医院神经内科 北京 102699
- 折叠
摘要
Abstract
Objective:To investigate the predictive value of combined blink reflex(BR)and electroneurography(ENoG)for the clinical prognosis of idiopathic facial nerve palsy(IFP).Methods:Patients with acute moderate to severe IFP(House-Brackmann[HB]grade ≥ 3)who presented within 7 days of onset at our hospital from May 2022 to May 2023 were prospectively included.All patients underwent BR and ENoG examinations 7～10 days after onset.The prognosis of facial nerve function was assessed using the HB grading system at the 3-month follow-up visit,with poor prognosis defined as an HB grade ≥ 3.Binary logistic regression analysis was used to evaluate the correlation between the combined BR and ENoG results and poor 3-month prognosis.Results:A total of 127 patients with acute moderate to severe IFP were included,among whom 11 patients(8.7％)had a poor prognosis at the 3-month follow-up.Univariate analysis showed that compared with the good prognosis group,the poor prognosis group had a higher age and initial HB grade(both P＜0.05).Compared with the group showing partial BR wave presence combined with mild ENoG decline on the affected side,the group with complete absence of BR waves combined with significant ENoG decline had a significantly increased risk of poor 3-month prognosis(OR 10.87,95％CI 1.20～98.47,P=0.034).Receiver operating characteristic(ROC)analysis demonstrated that the combination of BR and ENoG could predict poor prognosis in IFP(AUC=0.765,P=0.011).Conclusion:Patients with IFP who exhibit both complete absence of BR waves and significant ENoG decline have a significantly increased risk of poor 3-month prognosis.This suggests that the combined application of BR and ENoG testing can accurately assess the clinical prognosis of IFP patients,providing an important basis for early intervention and individualized treatment.关键词
特发性面神经麻痹/面神经电图/瞬目反射/预后/HB分级Key words
idiopathic facial paralysis/electroneurography/blink reflex/prognosis/House-Brackmann grading分类
医药卫生引用本文复制引用
徐莹鑫,袁景林,赵留庄,杨海华..肌电图对中重度特发性面神经麻痹的预后评估[J].神经损伤与功能重建,2025,20(7):408-413,6.
