表面肌电图检查评估周围性面瘫预后中的作用.pdfVIP

SEMG in the assessment of prognosis of facial Palsy Speciality:Acupuncture and moxibustion Author:zhuyunhong Tutor:liu li an Abstract Objective: this subject collected 36 facial paralysis pations to get SEMG detection, discussing the value of SEMG in this desease. Methods: 30 pations who meet the requirements used H-B to score on the first day they treated and the 4th week.all pations Received acupuncture treatment And use SEMG to detecet on the 3th day ,the 5th day,the 7th day.then put the three dates together,and compared with the results of the last recorvery situation.ultimatelly,get a obejective predection to facial Palsy . Results:In the acute phase,the RMS value of the 30 patients whose healthy side and ， the sick side have significant difference. P0.05 the RMS ration of the sike side compared with the health side which is proportional to their prognosis.if the ratio below 15% then have a poor prognosis.while the ratio above 50% will completely Recovered.if let the ration of 15% and below as the indicte of facial muscles which can not recover or can not fully recover,meanwhile let the ration above 15% as the indicte of facial muscles which can fully recover,then the forecast accuracy of the Orbicularis oris muscle in the 3th day,the 5th day ,the 7th day were 83.3% 、80%、80%；while the Forehead muscle were 、 、 80% 76.7% 76.7%. Conclusion:SEMG can provide a more objective and accurate clinical basis in the diagnosis and prognosis of facial Palsy. Key words facial paralysis ； SEMG ；dedect 目 录 引 言 1 临床研究 2 一、 临床资料 2 （一）一般资料 2 （二）疾病诊断标准、分期标准和神经定位标准 2 （三） 纳入标准 3 （四） 排除标准 3 （五）观察中止标准 4 （六）剔除与脱落标准 4 二、研究方法