CAJ | 학술논문

面神经功能评定在特发性面神经麻痹诊疗过程中有至关重要的作用，是评估预后的主要工具。基于易掌握、易推广、成本低等因素，主观评估系统是目前使用最广泛的方法。客观评估系统在指标量化、可重复性、评价者间一致性等方面具有明显的优势，即使受限于技术、成本等因素，也会成为未来应用的主流，具有广阔的开发前景。本文回顾不同时期和类型的面神经功能评估系统在面神经功能评定中的临床应用，对现有各种面神经功能评价方法进行总结，为科学、合理地在特发性面神经麻痹疾病中制定、筛选和应用面神经功能评价系统提供参考与借鉴。
면신경공능평정재특발성면신경마비진료과정중유지관중요적작용，시평고예후적주요공구。기우역장악、역추엄、성본저등인소，주관평고계통시목전사용최엄범적방법。객관평고계통재지표양화、가중복성、평개자간일치성등방면구유명현적우세，즉사수한우기술、성본등인소，야회성위미래응용적주류，구유엄활적개발전경。본문회고불동시기화류형적면신경공능평고계통재면신경공능평정중적림상응용，대현유각충면신경공능평개방법진행총결，위과학、합리지재특발성면신경마비질병중제정、사선화응용면신경공능평개계통제공삼고여차감。
Facial nerve grading system (FNG) plays a crucial role in the diagnosis and treatment of idiopathic facial paralysis, and also serves as a primary tool for prognosis. Subjective grading systems are currently the most widely used methods due to their easy accessibility, popularization and low costs. Objective grading systems, which have obvious advantages in terms of index quantization, repeatability and consistency between evaluators, will become the mainstream in future application and possess development prospect despite their limitation of technology and cost. This article reviewd the clinical application of different types of FNGs in facial nerve grading among different peri-ods, and made a summarization of currently-existing facial nerve grading methods. It may provide a scientific and reasonable reference to the constitution, filter and application of facial nerve grading systems in treating idiopathic facial paralysis.