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本文调查197例特发性外周性面神经麻痹患者的病史、临床表现和电生理学检查,以研究其与预后的关系。本组病例46%为女性,平均年龄45±19岁,42%为右侧麻痹。病史调查包括有无耳疾、妊娠、糖尿病、心血管疾病或多发性神经病等;面神经麻痹方面调查是否急性发作。有无疼痛、眩晕、味觉障碍、失听、听觉过敏、眼干以及联带运动和迟发性挛缩等。耳疾、肿瘤、外伤以及带状疱疹引起的面瘫除外。面肌——尤其是额肌、眼轮匝肌、口轮匝肌和颧肌的麻痹程度分五级:①完全麻痹,无运动;②严重麻痹,有运动、然而静止或运动时面部不对称;③中度麻痹:静止时面部对称,运动时中度不对称;④轻度麻
This article investigates the history of 197 cases of idiopathic peripheral facial paralysis patients, clinical manifestations and electrophysiological examination to study the relationship with prognosis. 46% of the patients in this group were female, with an average age of 45 ± 19 years and 42% of right paralysis. The medical history survey includes whether there is ear disease, pregnancy, diabetes, cardiovascular disease or polyneuropathy, etc .; facial nerve paralysis investigation whether the acute attack. With or without pain, dizziness, taste disorders, loss of hearing, hyperacusis, dry eye and joint movement and delayed contracture. Ear disease, cancer, trauma and shingles caused by facial paralysis except. Facial muscles - especially the frontal muscle, orbicularis oculi muscle, orbicularis muscle and zygomatic muscle paralysis in five levels: ① complete paralysis, no exercise; ② severe paralysis, exercise, however, when the static or facial asymmetry ; ③ moderate paralysis: static facial symmetry, exercise moderate asymmetry; ④ mild hemp