周雪颖 董琰 王立利

    【摘要】 Bell麻痹又称面神经炎或特发性面神经麻痹，是一种常见的急性单侧面神经麻痹，其发病率高，是目前临床上最常见的一种周围性面部麻痹。Bell麻痹的病因及发病机制尚不清楚，目前我国对Bell麻痹的诊疗多参照2016版《中国特发性面神经麻痹诊治指南》，临床上关于Bell麻痹的治疗方案已有很多报道。虽然Bell麻痹患者大部分预后良好，但部分遗留后遗症的患者会遭受生理及心理上的双重压力，严重者甚至会导致抑郁及社会孤立，因此需要及时给予有效合理的治疗。多年来，电生理检查作为一种辅助检查，通过面神经检查结果来指导治疗及评估预后，已被广泛应用于临床。本文对Bell麻痹国内外的研究进展进行综述，以期进一步完善临床研究中的不足之处。

    【关键词】 Bell麻痹 病因 诊断 电生理检查

    Research Status of Bell Palsy/ZHOU Xueying， DONG Yan， WANG Lili. //Medical Innovation of China， 2022， 19(10)： -184

    [Abstract] Bell palsy， also known as facial neuritis or idiopathic facial paralysis， is a common acute unilateral nerve paralysis， its incidence is high， is the most common clinical peripheral facial paralysis. The etiology and pathogenesis of Bell palsy are still unclear. At present， the diagnosis and treatment of Bell palsy in China mostly refer to the 2016 Chinese Guidelines for the Diagnosis and Treatment of Idiopathic Facial Paralysis， and there have been many clinical reports on the treatment of Bell palsy. Although most Bell palsy patients have a good prognosis， some patients with sequelae will suffer from both physical and psychological pressure ......