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Received:May 26, 2020 Published Online:May 20, 2021
Received:May 26, 2020 Published Online:May 20, 2021
中文摘要: 目的 明确贝尔麻痹患儿的临床特点和影响预后的因素。方法 选取2005年1月至2018年12月53例于内蒙古省赤峰市医院就诊的儿童贝尔麻痹患儿,对性别、年龄、受影响的部位、严重程度及治疗和最后一次就诊的结果进行回顾性分析。结果 接受类固醇类药物治疗者(疗程7 d)38例,接受类固醇(疗程7 d)+抗病毒药物(疗程5~7 d)治疗者15例。治疗结束后第30天评价,两组53例患儿中完全恢复30例(56.6%),部分恢复21例(39.6%),未恢复2例(3.8%)。完全恢复组与未完全恢复组(含部分恢复21例及未恢复2例)在性别、患侧、面瘫的初始严重程度、从发病到治疗的时间差异无统计学意义(P>0.05)。完全恢复组患儿的年龄显著低于未完全恢复组患儿[(8.8±4.2)岁 vs (12.2±3.0)岁,t=3.289,P<0.01]。结论 性别、患侧和早期或晚期治疗对贝尔麻痹患儿恢复率没有影响,年龄较小可能是影响其快速康复的良好预后因素。
Abstract:Objective To investigate the clinical characteristics and prognostic factors of children with Bell palsy.Methods A retrospective analysis was performed in 53 pediatric patients with Bell palsy admitted in Chifeng Hospital of Inner Mongolia from January 2005 to December 2018,including the patient′s gender,age,affected site,severity,treatment and the results of the last visit.Results Thirty-eight patients received steroid therapy(treatment course 7 d),15 received steroid(treatment course 7 d) and antiviral drugs(treatment course 5-7 d).Out of 53 cases,30 patients (56.6%) recovered completely,21 patients (39.6%)recovered partially,and 2 patients (3.8%) did not recovered.Evaluation at 30 days after treatment,there were no significant differences in gender,affected side,initial severity of facial paralysis and time interval from onset to treatment between the patients with complete recovery and the patients with partial recovery (including 21 cases of partial recovery and 2 cases of non recovery)(P>0.05).The age of patients in complete recovery group was significantly lower than that in partial recovery group[(8.8±4.2) years vs (12.2±3.0) years,t=3.289,P<0.01 ].Conclusion For the children with Bell palsy,gender,affected side of face and treatment time have no effects on the recovery rate,and younger age may be a good prognostic factor for the rapid recovery.
keywords: Bell palsy Children Age Prognosis
文章编号: 中图分类号:745.1+2 文献标志码:B
基金项目:内蒙古自治区卫生计生委科研计划项目(201703231)
Author Name | Affiliation |
BAO Ming-ming,CAO Lei,XU Jin-zhi | 赤峰市医院康复科,内蒙古 赤峰 024000 |
Author Name | Affiliation |
BAO Ming-ming,CAO Lei,XU Jin-zhi | 赤峰市医院康复科,内蒙古 赤峰 024000 |
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