瞬目反射及面神经电图在Bell面瘫中的临床应用.pdfVIP

第21卷第6期 山东大学耳 鼻喉眼学报 Vo1．21 No．6 2007年12月 J I[) IDI。ARYNG0L 0P}rrHAI SHAND0NG UNⅣ Dec．2007 文章编号：1673—3770(2007)06—0570—02 · 其他· 瞬目反射及面神经电图在Bell面瘫中 的临床应用 梁振源，洪育明，林泼水 (福建医科大学第二临床医学院耳鼻咽喉科，福建泉州362000) 摘要：目的 研究瞬目反射(blink reflex，BR)及神经电图(electrical neurography，ENG)在Beu面瘫中的应 用价值。方法 采用海神号神经检诊仪，刺激眶上神经，分别在同侧眼轮匝肌记录出R，波及R2波，在对侧 眼轮匝肌记录出R 波；在茎乳孔处刺激面神经，用同心圆针电极记录出运动潜伏期及M波波幅，对35例 Bell面瘫患者行BR及ENG检测，并与自身健侧对比。结果 35例患者BR均有不同程度异常，ENG部分异 常。结论 BR与ENG均能反映面神经损伤程度、部位及预后，两者结合的早期诊断及预后判断价值更大。 关键词：神经电图；瞬目反射；面瘫 中图分类号：R745．12 文献标志码：A Blink reflex and electrical neurography in the clinical evaluation of Bell S facial palsy LIANG Zhen-yuan，HONG Yu-瑚ing，LIN Po-shui (Department of Otolaryngology，Second Affiliated Hospital of Fujian Medical University， Quanzhou 362000，Fujian，China) Abstract：Objective To explore the effects of the blink reflex(BR)and electrical neurography(ENG)in the eval- uafion of BeU S facial palsv．Method Haishen neIve examination instnmlents~qere used to stimulate the super-orbital nerve to record wave R1 and Rof the ocular orbicular muscle in the same sides and wave Rof the ocular orbicular mils． cle in the opposite sides．A concentric needle electrode WaS used to stimulate the facial nerve to record the latent phase of movement and the scope of wave M．Also the BR and ENG were determined and compared with the controls．Result BR WaS abnormal in 35 cases of BeU S facialpalsy in different degrees．and ENG was abnormal in some of the cases． Conclusions Both BR and ENG Can reflex the degree．1ocation and prognosis of the facial nerves．BR is more important in early diagnosis and prognos