| 瞬目反射与面神经电图在儿童面神经炎中的应用 |
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| 引用本文： | 崔穗晶,陈惠灵,刘红英,邱金华.瞬目反射与面神经电图在儿童面神经炎中的应用[J].国外医学：物理医学与康复学分册,2008,3(1):38-40. |
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| 作者姓名： | 崔穗晶 陈惠灵 刘红英 邱金华 |
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| 作者单位： | 惠州市中心人民医院神经内科 广东惠州516001 |
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| 基金项目： | 惠州市科研项目(2007Y021) |
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| 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:20例面神经炎患儿在发病后7-30d分别行BR、ENoG检查。结果:患侧R1、R2及R2’波缺如2例,R1波缺如、R2及R2’波正常3例,R1、R2及R2’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10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。
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| 关 键 词： | 儿童 面神经麻痹 瞬目反射 神经电图 |
| 文章编号： | 1001-117X(2008)01-0038-03 |
| 修稿时间： | 2007年9月7日 |
Application of Blink Reflex and Facial Electroneurogram to Children with Bell Paralysis |
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| CUI Sui-jing,CHEN Hui-ling,LIU Hong-ying,QIU Jin-hua.Application of Blink Reflex and Facial Electroneurogram to Children with Bell Paralysis[J].Neural Injury and Functional Reconstruction,2008,3(1):38-40. |
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| Authors: | CUI Sui-jing CHEN Hui-ling LIU Hong-ying QIU Jin-hua |
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| 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 examined by using BR and EnoG at days 7-30 after the onset.Results:The ipsilateral R1,R2,and R2' waves were absent in 2 cases.Three cases only showed no R1 waves,and the resting 15 cases showed delayed latencies of R1,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 distal 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. |
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| Keywords: | children bell paralysis blink reflex electroneurogram |
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