背景:面神经麻痹是一种神经损伤的状况,导致面部一侧或两侧的面部运动受损。
目的:这项多中心研究旨在确定面神经麻痹的患病率,并评估其危险因素与并发症之间的关系,以确定吉达和利雅得阿卜杜勒阿齐兹国王医疗城住院患者的病因。沙特阿拉伯,2016年至2023年。
方法:进行了一项回顾性横断面研究,以使用针对面神经麻痹患者的最佳护理系统从病历中获取数据。使用IBMSPSSStatisticsforWindows分析数据,版本20.0(2011年发布;IBMCorp.,Armonk,纽约,美国),卡方检验,t检验,和ANOVA。统计显著性水平设定为p<0.05。
结果:该研究涉及123名患者,患病率为0.0164%。贝尔氏麻痹是最常见的病因,占病例的81.8%,接着是头部受伤,牙齿创伤,中耳炎,中风,还有头颈部肿瘤.肥胖是最重要的危险因素,其次是上呼吸道问题。高血压和糖尿病发挥类似的作用。面部不对称,眼科并发症,眼睛抽搐是最常见的抱怨,其次是言语困难,心理和社会影响,嘴巴抽搐,和突触。
结论:面神经麻痹在该地区很常见。我们建议健康教育会议,以提高公众的认识,并提供预防策略,以减少面神经损伤的并发症。我们建议进一步研究面神经麻痹的危险因素与并发症之间的关系。
BACKGROUND: Facial nerve palsy is a condition of nerve damage that results in impaired facial movement on one or both sides of the face.
OBJECTIVE: This multicenter study aimed to determine the prevalence of facial nerve palsy and evaluate the association between its risk factors and complications to identify its etiology among patients admitted to King Abdulaziz Medical City in Jeddah and Riyadh, Saudi Arabia, between 2016 and 2023.
METHODS: A retrospective cross-sectional study was conducted to obtain data from medical records using the best care system for patients with facial nerve palsy. Data were analyzed using IBM SPSS Statistics for Windows, Version 20.0 (Released 2011; IBM Corp., Armonk, New York, United States), Chi-square test, t-test, and ANOVA. The level of statistical significance was set at p<0.05.
RESULTS: The study involved 123 patients, with 0.0164% prevalence. Bell\'s palsy was the most common etiology, accounting for 81.8% of cases, followed by head injuries, dental trauma, otitis media, stroke, and head and neck tumors. Obesity was the most significant risk factor, followed by upper respiratory problems. Hypertension and diabetes exert similar effects. Facial asymmetry, ophthalmic complications, and eye twitching were the most common complaints followed by speech difficulties, psychological and social effects, mouth twitching, and synkinesis.
CONCLUSIONS: Facial nerve palsy is common in this region. We recommend health education sessions to increase public awareness and provide preventive strategies to reduce the complications of facial nerve damage. We recommend further research on the association between the risk factors and complications of facial nerve palsy.