Bell’s Palsy의 경과에 대한 예후인자 분석 = An Analysis of Clinical Prognosis Factors of Bell’s Palsy

다국어 초록 (Multilingual Abstract)

Objectives : This study was designed to evaluate clinical prognosis factors of Bell’s palsy patients.
Methods : The 100 subjects were chosen from 262 patients over 20years old who was diagnosised Bell’s palsy through Acupuncture & Moxibustion and ENT medical specialist after visiting the hospital within 8days of onset of peripheral facial palsy and after Oriental-Western Medicine Treatment, recovered completely or had over three months cares because of incomplete recovery Oriental-Western Medicine Treatment included Acupuncture Treatment, Herb med treatment, medicines treatment, Physical therapy and Electrodiagnostic Test was operated after 7 to 10days after outbreaks of the disease. Clinical prognosis factors were analyzed using House-Brackmann grading system(HBGS) as a measurement of the degree of Facial Palsy. Collected data were analyzed as Chi-Square test, ANOVA test, Independent-Samples t- test regression analysis using SPSS 12.0 WIN Program.
Results :
1. There was a significant difference in the results of treatment according to site of palsy, degree of ini- tial palsy, time of initial recovery and existence of recovery after 3weeks from onset as clinical pro- gnosis factors of Bell’s Palsy, However, a statistically significant difference was not shown in the re- sults of treatment according to gender, age, existence of Post Auricular Pain, Hypertension, Diabetes and existence of relapse.
2. As a result of overall treatment, 85% of patients were recovered almost entirely and 15% were not re- covered completely.
3. There was a significant difference in the onset of Post Auricular Pain and duration of Post Auricular Pain according to the degree of Post Auricular Pain.
4. There was a significant difference in the degree of initial palsy and degree of palsy after 3weeks from onset according to the existence of Post Auricular Pain. However, a statistically significant difference was not shown in the period of time until initial treatment, The time of initial recovery, (H-B), The period from onset to recovey, ENoG value.
Conclusions : Based on the above results, prognosis of Bell’s palsy was affected by degree of initial palsy, time of initial recovery and existence of recovery after 3weeks from onset.

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