面瘫临床评价方法的研究进展

Advance in Clinical Evaluation Methods of Facial Paralysis(review)

面瘫临床评价方法可分为功能评价量表、神经电生理检测及面瘫计算机评价系统三大类。常用功能评价量表包括House-Brackmann分级量表(HBGS)、Burres-Fisch面神经评分系统、Nottingham系统、Sunnybrook面瘫分级系统(SFGS)、面神经麻痹程度分级量表、面部残疾指数(FDI)及临床面瘫评价(Fa CE)量表等。常用神经电生理检测包括面肌电图(EMG)、神经电图(ENo G)、瞬目反射(BR)、神经兴奋性试验(NET)等。计算机面神经功能评价系统根据传感器的不同,主要分为基于红外热像技术的计算机评价系统及基于生物医学图像识别技术的计算机评价系统。本文从评价的敏感性、稳定性、准确性、易操作性及经济学等角度对上述常用面瘫评价方法进行分析。

The clinical evaluation methods of facial paralysis can be divided into functional evaluation scales,neuro-electrophysiological tests and computer evaluation systems.The commonly used function evaluation scales include House-Brackmann Grading Scale(HBGS),Burres-Fisch Facial Nerve Scoring System,Nottingham System,Sunnybrook facial grading System(SFGS),Degree of Facial Nerve Paralysis Hierarchical Scale,Facial Disability Index(FDI)and Facial Clinimetric Evaluation(FaCE)Scale,etc.Neuro-electrophysiological tests mainly consist of facial electromyography(EMG),electroneurography(ENoG),blink reflex(BR),and neural excitatory test(NET),etc.The computer evaluation system based on the sensor is mainly divided into the computer evaluation system based on infrared thermal image technology and the computer evaluation system based on biomedicine image recognition.This article briefly summarized the existing methods of facial paralysis evaluation in terms of sensitivity,stability,accuracy,ease of operation and economics.