316例Bell's面瘫患者注意力与暗示性影响因素研究

摘要

Objective: To evaluate the attention and suggestibility of patients with Bell's palsy and to explore the influencing factors. Methods: Three hundred and sixteen Bell's palsy patients were recruited in this study. House-Brackmann (HB) grading scale was used to assess the severity of facial paralysis; Cancellation test and Suggestibility test were used to evaluate the attention and suggestibility of patients. The cases were divided into acute phase group (^ 72 hour) and sub-acute group (72~168 hour) according to the course of the disease; and mild group (HB graded I -M) and severe group (HB graded IV~VI) according to the severity of the disease. Independent samples t-test was employed to compare the mean HB scores, attention scores, and suggestibility scores of patients in different groups; Spearman rank correlation analysis and multiple regression analysis were employed to explore the influence factors for attention and suggestibility. Results: The attention scores of the patients in the acute phase group and the mild group were higher than those in the sub-acute phase group and the severe group; HB scores were negatively related to the attention and positively related to the suggestibility; The HB scores, course of the disease, educational level, and age were the main influencing factors for the attention of patients with facial paralysis; The: severity of disease, course of disease, gender, and educational level were the main influencing factors for the suggestibility of facial paralysis patients.Conclusion: The decline of attention and the increase of suggestibility for patients with facial paralysis are mainly related to the severity of facial paralysis, course of disease* education level, age, and gender.%目的:评价Bell's面瘫患者注意力及暗示性程度并探讨其影响因素.方法:Bell's面瘫患者316例,采用House Brackmann(HB)分级量表评估患者面瘫程度,划消实验、暗示性测验评估面瘫患者注意力和暗示性程度.根据病程将患者分为急性期(≤72 h)和亚急性期(72-168 h);根据病情程度将患者分为轻度(HB评分Ⅰ-Ⅲ级)和重度(HB评分Ⅳ-Ⅵ级).独立样本t检验比较不同病程和病情患者HB评分、注意力评分、暗示性评分;Spearman等级相关分析和多元逐步回归分析探讨影响面瘫患者注意力、暗示性的因素.结果:急性期、轻度面瘫患者注意力评分高于亚急性期、重度面瘫患者;急性期、轻度面瘫患者暗示性评分低于亚急性期、重度面瘫患者;面瘫患者HB评分与注意力呈负相关,与暗示性程度呈正相关;影响注意力的主要因素有HB评分、病程、文化程度、年龄等;影响暗示性的主要因素有病情程度、病程、性别、年龄、文化程度等.结论:面瘫患者注意力下降,暗示性程度增强,主要与面瘫程度、病程、文化程度、年龄、性别等影响因素有关.