瞬目反射与面神经电图在儿童面神经炎中的应用.pdfVIP

38 Neural Injury and Functional Reconstruction。January 2008。Vo1．3，No．1 · 论 著 · 瞬目反射与面神经电图在儿童面神经炎中的应用* 崔穗晶#，陈惠灵，刘红英，邱金华 惠州市中心人民医院神经内科，广东惠州516001 【摘要】 目的：探讨瞬目反射(BR)、面神经电图(ENoG)检测对面神经炎患儿的诊断价值。方法：2O例面神经 炎患儿在发病后 7—30 d分别行BR、ENoG检查。结果：患侧R。、R。及 R2’波缺如 2例，R 波缺如、R。及 R2’波正 常3例。Rt、R2及Rz’波潜伏期延长 15例。阳性率100 。患侧面神经运动(M波)潜伏期缺如2例。M波延长、波幅 低18例；近端损害8例，远端损害1O例，远近端均受累2例。结论：BR检测是诊断儿童面神经炎的早期敏感指标， 采用 BR、ENoG综合检测可全面、客观地评价面神经损害的程度及部位。 【关键词】 儿童；面神经麻痹；瞬目反射；神经电图 【中图分类号】 R741；R745．12 【文献标识码】 A 【文章编号】 1001—117X(2008)O1—0038—03 Application of Blink Reflex and Facial Electroneurogram to Children with Bell Paralysis CUI Sui—jing‘．CHEN Hui—ling，L儿，Hong—ying，QIUJin—hua．‘DepartmentofNeurology。CentralPeoples Hospital of Huizhou Cit— Y，Huizhou 516001。China [Abstract] Objective：The diagnostic significance of blink reflex(BR)and facial electroneurogam(ENoG)in diagnosing Bell palsy in children has been investigated．Methods：Twenty children with Bell paralysis have been ex— amined by using BR and EnoG at days 7—30 after the onset．Results：The ipsilateral Rl。R2，and R2 waves were ab— sent in 2 cases．Three cases only showed no R1 waves，and the resting 1 5 cases showed delayed latencies of Rl。R2 and R2 waves．M waves of the facial nerve were absent in 2 cases．And the resting 18 patients displayed delayed M waves with low amplitude．The ratio of R1 latency to M latency indicated 8 cases with paroximal injury，10 with dis— tal injury and 2 with extensive injury．Conclusion：BR can be used as a sensitive parameter for early diagnosis of Bell paralysis in children．BR and ENoG can evaluate the extent and location of injury of the facial nerve． [Key words] children；bell paralysis；blink reflex；electroneurogram 面神经炎(Bell麻痹)又称特发性面神经麻痹，