周围性面神经麻痹的临床评估及疗效判定标准方案(草案)

Programme of criteria for clinical evaluation and assessment of therapeutic effects of peripheral facial paralysis

目的:建立并完善周围性面神经麻痹的临床评估和疗效判定标准。方法:参照相关的评价标准,结合中医学的自身特点和面神经的功能特性,通过临床反复观察与对比评价,提出周围性面神经的评分量化表、面神经分级标准、辨证分型标准及疗效判定标准。结果:经临床初步测定,评估内容具有参照合理、简便易行、客观精细的特征。结论:该方案可以作为临床评估和疗效判定的标准,但仍需临床效度、信度的测定及多中心研究的支持。

Objective To establish perfect criteria for clinical evaluation and assessment of therapeutic effects of peripheral facial paralysis. Methods With reference to relative evaluating criteria, and in combination with selfcharacteristics of TCM and functional characteristics of facial nerves, and via clinical repeated investigation and control evaluation, put forward a scale for peripheral facial nerve rating, criteria for facial nerve grading, criteria of syndrome types and criteria of assessment of therapeutic effects. Results Clinical preliminary determination indicated that the assessment contents were characterized by rational reference, convenience and objectiveness. Conclusion The program can used as criteria for clinical evaluation and assessment of therapeutic effects, but it needs support of clinical effectiveness and determination of confidence, and multi-central studies.