瞬目反射在急性面神经炎中的应用价值

【目的】探讨瞬目反射对面神经炎早期诊断和病变范围评估的价值。【方法】对60例面神经炎患者在发病1~7 d内进行瞬目反射检查并与神经电图检查作对照。【结果】瞬目反射异常率为100%(60/60),神经电图异常率为46.6%(28/60),差异有统计学意义。瞬目反射提示单纯面神经损害68.3%(41/60),面神经、脑干和三叉神经联合损害19例。【结论】瞬目反射是面神经炎早期诊断的敏感指标,对评估病变范围有助。

The value of blink reflex in facial paralysis

【Objective】 To explore the value of blink reflex examination on the early diagnosis and extent of facial paralysis.【Methods】 60 cases of facial paralysis patients accepted blink reflexes examination and compared with nerve electronystagmography examination within 1 to 7 days.【Results】 The blink reflex abnormality rate was 100%（60/60）,abnormal nerve diagram was 46.6%（28/60）,the difference was statistically significant.Blink reflex in facial nerve damage alone suggested a pure facial nerve damage 68.3%（41/60）.Facial nerve,brainstem,and extensive damage to the trigeminal nerve were examined in 19 cases.【Conclusion】 The facial blink reflex is a sensitive marker of early diagnosis on facial paralysis and is helpful for the assessment of the extent of the disease.