前庭功能检查在前庭性偏头痛患者预防性治疗疗效预测中的价值

发布时间：2018-01-21 10:03

本文关键词： 前庭性偏头痛预后变温试验头脉冲试验　出处：《临床耳鼻咽喉头颈外科杂志》2017年13期 　论文类型：期刊论文

【摘要】：目的:回顾前庭性偏头疼(VM)患者的变温试验、视频头脉冲试验(vHIT)结果,评价前庭功能检查在预测VM患者预防性治疗疗效方面的价值。方法:收集VM患者初诊时变温试验及vHIT检查结果,并于预防性治疗6个月后复查,评价其症状改善情况,分成完全缓解(CR)组:无眩晕发作,不需要继续药物治疗;未完全缓解(UR)组:经治疗仍有眩晕发作,包括症状改善仍需继续治疗和症状完全无改善。结果:75例患者中15例(15.0%)变温试验异常,9例(12.0%)患者vHIT异常。治疗6个月后,58例(77.3%)患者完全缓解,17例(22.7%)患者未完全缓解,CR组和UR组之间变温试验和vHIT结果的异常率差异有统计学意义(P0.05)。结论:变温试验和vHIT结果异常表明VM患者存在半规管功能异常,其眩晕症状与前庭外周功能异常密切相关,前庭功能检查结果异常的患者可能需要更长时间的预防性治疗或必要的康复治疗。
[Abstract]:Objective: to review the results of temperature change test and video head pulse test in patients with vestibular migraine (VM). To evaluate the value of vestibular function examination in predicting the curative effect of prophylactic therapy in VM patients. Methods: the results of temperature change test and vHIT examination in VM patients were collected and rechecked after 6 months of prophylactic treatment. The symptom improvement was evaluated and divided into two groups: no vertigo attack and no need for continuous medication. After treatment, there were still vertigo attacks, including symptom improvement and no improvement. Results 15 out of 75 patients (15 / 15) were abnormal in hyperthermia test. After 6 months of treatment, 58 patients (77.3) had complete remission and 17 patients had complete remission (22. 7%). There was significant difference in abnormal rate between CR group and UR group in temperature change test and vHIT results (P 0.05). Conclusion: abnormal temperature test and vHIT results indicate that VM patients have abnormal semicircular canal function. Vertigo symptoms are closely related to vestibular peripheral dysfunction. Patients with abnormal vestibular function may need longer prophylactic treatment or necessary rehabilitation.
【作者单位】：大连市中心医院耳鼻咽喉头颈外科;
【分类号】：R747.2;R764
【正文快照】： 偏头痛与前庭功能障碍之间的关系很早就受到历代医生的关注。前庭性偏头痛(vestibular mi-graine,VM)作为一种独立的疾病,2013年被编入国际头痛疾病分类第3版测试版的附录[1]后,更是受到越来越多神经内科、耳鼻咽喉科医生的重视。由于该病的病理生理机制尚不明确,所呈现的复发

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