Bell’s面瘫患者生存质量及影响因素研究

Life Quality of Patients with Bell's Palsy and Its Influencing Factors

目的：评价Bell’s面瘫患者的生存质量状况并探讨其影响因素。方法：Bell’s面瘫患者316例为研究对象,采用House-Brackmann（HB）分级量表评估患者面瘫程度,世界卫生组织生存质量简表（WHOQOL-BREF）中文版评价患者生存质量;根据病程将患者分为急性期（≤72 h）及亚急性期（72168 h）,根据病情程度将患者分为轻度（HB评分ⅠⅢ级）及重度（HB评分ⅣⅥ级）。独立样本t检验比较不同病程和病情患者HB评分和WHOQOL-BREF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生存质量的因素。结果：面瘫患者WHOQOL-BREF各领域得分普遍较低;急性期、轻度面瘫患者WHOQOL-BREF评分高于亚急性期、重度面瘫患者;面瘫患者HB评分与WHOQOL-BREF生理领域、心理领域得分密切相关;影响生存质量的主要因素有HB评分、病程、病情程度、性别、年龄、文化程度、职业等。结论：面瘫患者生存质量较差,患者病程、面瘫程度、性别、年龄、文化程度、职业等因素影响患者生存质量。

Objective： To evaluate the life quality of patients with Bell＇s palsy and to explore the influencing factors.Methods： Three hundred and sixteen patients with Bell＇s palsy were recruited for this study.House-Brackmann（HB） grading scale was used to assess the severity of facial paralysis,and World Health Organization Quality of Life-BREF（WHOQOL-BREF） was used to evaluate the life quality of patients with Bell＇s palsy.The patients were divided into acute phase group（within 72 h） and sub-acute phase group（72168 h） according to the courses of the illness,and mild group（HB graded ⅠⅢ） and severe group（HB graded ⅣⅥ） according to the severity of facial palsy.Independent samples t-test was employed to compare the mean HB and WHOQOL-BREF scores of patients in different groups;and Spearman rank correlation analysis and multiple regression analysis were employed to explore the influence factors for the life quality of the patients.Results： The WHOQOL-BREF scores of the patients were generally low.The WHOQOL-BREF scores of patients in the acute phase and the mild groups were higher than those in the sub-acute phase and the severe groups.HB scores were closely related to the WHOQOL-BREF scores in physical domain and psychological domain.The HB scores,course and severity of illness,gender,age,educational level and occupation of sufferers were the main influencing factors for the life quality of patients with facial paralysis.Conclusion： The life quality of patients with facial paralysis was not satisfactory.The course and severity of palsy,sex,age,educational level,and occupation of patients influence the life quality of patients.