影响特发性面神经麻痹预后的相关因素分析

摘要

Objective To explore the factors related to the outcome of idiopathic facial palsy. Methods 308 patients with idiopathic fa-cial palsy were included. The data of clinic and follow-up were collected from January, 2010 to December, 2014. The data were analyzed by Logistic regression analysis. Results 210 cases (68.2%) were cured (good group) and 98 cases (31.8%) appeared sequelae of different de-grees (poor group). The age, onset of disease, type of disease, damaged section, impaired glucose control, high neutrophil-to-lymphocyte ra-tio (NLR), high blood glucose, high blood triglyceride, time and methods of invention were significant factors related to the outcome (P<0.05). Conclusion Old, servious facial nerve injury, Hunt's palsy, high damaged section, poor glucose control in the patients with diabetes, high NLR, high blood triglyceride, delay and simple invention are independent risk factors for the poor outcome of idiopathic facial palsy.%目的：探讨影响特发性面神经麻痹预后的相关因素。方法收集2010年1月~2014年12月308例特发性面神经麻痹住院患者临床资料及出院后回访资料，通过多因素Logistic回归分析，确定可能影响特发性面神经麻痹预后的相关因素。结果308例特发性面神经麻痹患者，预后好(痊愈)者210例(68.2%)；预后差(出现不同程度后遗症)者98例(31.8%)。年龄、发病时病情、类型、受损节段、糖尿病患者血糖控制、高中性粒细胞-淋巴细胞比值(NLR)、高甘油三酯、治疗时机及治疗方案是预后的影响因素(P<0.05)。结论高龄、发病时面神经损伤程度高、Hunt面瘫、受损节段高、糖尿病患者血糖控制不佳、高NLR值、高甘油三酯血症、治疗延迟及治疗方法单一是影响特发性面神经麻痹预后不良的独立危险因素。