원저 : 응급실에 내원한 벨 마비 환자의 스테로이드 및 항바이러스 치료에 대한 임상적 고찰
분야
의약학 > 일반외과학
저자
이성재 ( Sung Jae Lee ) , 김형주 ( Hyung Ju Kim ) , 서동우 ( Dong Woo Seo ) , 손창환 ( Chang Hwan Sohn ) , 이재호 ( Jae Ho Lee ) , 오범진 ( Byum Jin Oh ) , 임경수 ( Kyung Soo Lim ) , 김원영 ( Won Young Kim )
발행기관
대한응급의학회
간행물정보
대한응급의학회지 2012년, 제23권 제4호, 531~536쪽(총6쪽)
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18402489.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Purpose: This study was conducted for investigation of the recovery rate and prognostic factors of Bell`s palsy treated with steroid and antiviral agents in the emergency department (ED). Methods: A retrospective review of electronic medical records of patients with acute, unilateral Bell`s palsy within 72 hrs of onset who were admitted from the ED between March 2008 and February 2010 was conducted. All patients were treated uniformly with high-dose steroid and valaciclovir. The House-Brackmann (HB) grading system was used for evaluation of the severity of facial palsy. Satisfactory recovery was defined as facial palsy that recovered to Grade I on the HB grading scale. Results: During the three-year period, 231 patients (age, 51±15) with confirmed Bell`s palsy were included in this study. Initial grade of paralysis was as follows: 43 patients (18.6%) were HB grade II, 107 patients (46.3%) were grade III, 72 patients (31.2%) were grade IV, and nine patients (3.9%) were grade V. The satisfactory recovery rate was 77.9% at three months, and 88.3% at 12 months from diagnosis. Satisfactory recovery rate was significantly lower in patients with initial HB grade III/IV (85.2% vs. 92.7%, p<0.01), and age over 40 years (85.72% vs. 95.2%, p=0.04). Conclusion: The satisfactory recovery rate of patients with Bell`s palsy treated with steroid and antiviral agents was 77.9% at three months, and 88.3% at 12 months, and initial severity was found to be an important factor in predicting the long term prognosis of Bell`s palsy.
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