前庭功能测试对低频下降型突发性聋患者预后判断的价值

发布时间：2018-07-10 15:08

本文选题：聋 + 突发性　；参考：《临床耳鼻咽喉头颈外科杂志》2017年24期

【摘要】：目的:探讨低频下降型突发性聋患者的前庭功能测试异常情况对预后的影响。方法:回顾性分析88例低频下降型突发性聋患者的冷热试验+cVEMP+oVEMP结果,按前庭功能异常的项数分为全部正常组(A组)、1项异常组(B组)、2项异常组(C组)和3项全部异常组(D组),统计每组治疗有效及无效的例数,并分别比较有无统计学差异。结果:A组治疗有效率为27.27%,无效率为2.27%;B组治疗有效率为36.36%,无效率为4.55%;C组治疗有效率为9.09%,无效率为6.82%;D组治疗有效率为0%,无效率为13.64%。A、B、D组组内有效率与无效率比较,差异有统计学意义(P0.05);C组有效率与无效率比较,差异无统计学意义(P0.05)。结论:低频下降型突发性聋患者,前庭功能全部正常或仅1项异常者预后好,而前庭功能3项异常者预后差,前庭功能2项异常者预后不确定。前庭测试结果有助于协助判断预后,指导治疗。
[Abstract]:Objective: to investigate the influence of abnormal vestibular function test on prognosis in patients with low frequency descending sudden deafness. Methods: the results of camp oVEMP test in 88 patients with low frequency descending sudden deafness were retrospectively analyzed. According to the number of abnormal vestibular function items, the patients were divided into two groups: normal group (group A), one item abnormal group (group B), two abnormal group (group C) and three items abnormal group (group D). Results the effective rate was 27.27 in group A, 36.36 in group B, 9.09 in group C, 6.82 in group D, 13.64 in group A and 13.64.ABD in group ABD. The difference was statistically significant (P0.05). There was no significant difference in effective rate and invalid rate between group C and C (P0.05). Conclusion: in patients with low frequency descending sudden deafness, the patients with normal vestibular function or only one abnormal vestibular function had a good prognosis, while the patients with 3 abnormal vestibular functions had a poor prognosis and the patients with 2 abnormal vestibular functions had an uncertain prognosis. Vestibular test results are helpful in judging prognosis and guiding treatment.
【作者单位】：成都大学附属医院耳鼻咽喉科;
【分类号】：R764.437

【相似文献】