面神经麻痹的治疗现状

Current Status of Treatment of Facial Nerve Palsy

摘要: 面神经麻痹是指各种原因导致的面神经炎症引起的面部肌肉功能紊乱和感觉异常，又叫做面神经炎，患者表现为口角歪斜，眼睑闭合不全，额纹消失，鼻唇沟变浅，甚至咀嚼肌运动都不能完成。目前国内对于我国的面神经麻痹的发病率尚没有具备高质量证据的研究，我国最新版的临床治疗指南仍在使用美国学者的数据。在治疗本病过程中，临床上基本采用中西医结合方式，治愈率可达到80%左右。目前面神经功能评分量表有多种，House-Brackmann评分作为最传统、应用最广的面神经功能评分量表，其临床价值毋庸置疑，其他评分体系优劣均是与其做对比而得出结论。Sunnybrook评分作为仅仅发展了十余年的新兴体系，虽表现越来越突出，但其临床运用价值如何终究尚未能在学界达成一致结论。

Abstract: Facial nerve palsy refers to facial muscle dysfunction and sensory abnormalities caused by inflam-mation of the facial nerve from various causes, also called facial neuritis, in which patients show crooked corners of the mouth, incomplete eyelid closure, disappearance of frontal lines, shallow nasolabial grooves, and even inability to complete the movement of masticatory muscles. At present, there are no studies with high-quality evidence on the incidence of facial nerve palsy in China, and the latest version of clinical treatment guidelines in China is still using data from American scholars. In the process of treating this disease, the clinic basically adopts the combination of Chinese and Western medicine, and the cure rate can reach about 80%. At present, there are many kinds of fa-cial nerve function scoring scales, House-Brackmann score as the most traditional and widely used facial nerve function scoring scale, its clinical value is undoubtedly, other scoring system ad-vantages and disadvantages are compared with it to draw conclusions, and the Sunnybrook score, as an emerging system that has been developed for more than a decade, is becoming more and more prominent, but its clinical value is not yet known. Although the Sunnybrook score has only been developed for more than 10 years, its performance has become more and more prominent, but its clinical value has not yet reached a unanimous conclusion.