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本文对1982～1987年间18例妊娠合并Bell’s面瘫的患者进行了回顾分析。妊娠后期8个月内发病的12例,产褥初期2周内发病的6例。初产妇7例,第二次妊娠6例。面瘫均为单侧,右面瘫12例,左面瘫6例。14例中5例主诉耳及面部疼痛,5例味觉有改变,4例对强噪音过敏,3例眼干燥或泪液减少。10例感觉面部或舌麻木,或两者并存。18例中5例为先兆子痫,2例为妊娠诱发高血压。随访的14例中8例在发病3个月内面表情肌拟态功能完全恢复,其余6例平均22个月后仅有轻微面肌无力(House分类法为Ⅱ级)、
This article from 1982 to 1987, 18 cases of pregnancy with Bell’s facial paralysis were analyzed retrospectively. Twelve cases developed within 8 months of pregnancy, and 6 cases developed within 2 weeks of early puerperal. 7 cases of primipara, 6 cases of the second pregnancy. Facial paralysis were unilateral, right paralysis in 12 cases, left paralysis in 6 cases. Five of the 14 patients complained of ear and facial pain, 5 had a change in taste, 4 had hypersensitivity to strong noises, 3 had dry eye or decreased tear. Ten cases felt numbness of the face or tongue, or both. Five of 18 patients had preeclampsia and two had pregnancy-induced hypertension. In the follow-up 14 cases, 8 cases recovered facial myoelastic function completely within 3 months after onset, and the other 6 cases only had mild facial weakness after 22 months (House classification was grade Ⅱ)