表面肌电图检在评估周围性面瘫预后中的作用.pdfVIP

提 要 目的：本研究对 36 例周围性面瘫患者进行动态表面肌电图检测，探讨表面肌电 图在该病中的应用价值。方法: 对初次发病在三天内的 36 例周围性面瘫患者分别于 发病的第3天，第 5天，第7天进行表面肌电图检测，所有患者接受针刺治疗，疗程 结束进行面神经麻痹评分，将三次表面肌电图检测所得均方根值（RMS）结果与最终 面神经恢复情况进行比较，最终对周围性面瘫的预后做出一个较为客观的预测。结果: 入组 30 例患者急性期患侧与健侧的 RMS 平均值差异有显著性，P0.01。患侧与健侧 的 RMS 平均比值与预后成正比，患健侧比值在 15%及以下者预后差，而比值在 50%及 以上者均能完全恢复。若以患健侧比值≤15%为面肌不能或不能完全恢复的指标，而 以患健侧比值15%为面肌能完全恢复的指标，则口轮匝肌群第 3 天，第 5 天，第 7 天的预估正确率分别为 83.3%、80%、80%；而额肌群分别为 80%、76.7%、76.7%。结 论：表面肌电图检测可为周围性面瘫的诊断及预后提供一种较为客观、准确的临床依 据。 关键词 周围性面瘫 ；表面肌电图 ；预后 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 th