偏头痛与眩晕、耳鸣、听力下降

发布时间：2018-03-08 17:11

本文选题：偏头疼　切入点：眩晕　出处：《中华耳科学杂志》2014年02期 　论文类型：期刊论文

【摘要】：目的观察偏头痛患者的神经耳科学改变;方法回顾性总结321例偏头痛患者的神经耳科学表现,并将其按有无眩晕分成伴眩晕组和不伴眩晕组。所有存在与偏头痛相关的耳部症状的患者进行纯音测听、听性脑干反应及耳鸣匹配检查,所有存在与偏头痛相关的眩晕患者行前庭功能检查。结果 25.5%(82/321)的偏头痛患者伴有眩晕,7.5%(24/321)的患者有耳鸣症状,2.8%(9/321)的患者自觉听力下降,8.4%(27/321)的患者纯音测听异常,9.0%(29/321)的患者听性脑干反应异常(表现为各波绝对潜伏期延长和或波间期延长)。对比两组耳鸣发生率、纯音测听、听性脑干异常率,有显著性差异。结论伴随眩晕的偏头痛患者更易出现前庭耳蜗症状,本文旨在加深耳鼻喉科医生对偏头痛在耳蜗及前庭器官上所产生的影响的认识,从而对其在接诊偏头痛患者时做出更加精准的评估、诊断提供帮助。
[Abstract]:Objective To observe the changes in patients with migraine neurotological; methods to summarize 321 cases of migraine patients neurotological performance reviews, and press it into without vertigo with vertigo group and without vertigo group. All are associated with migraine ear symptoms in patients with pure tone audiometry, auditory brainstem response and tinnitus matching test all are associated with migraine, vertigo patients with vestibular function examination. Results 25.5% (82/321) of patients with migraine vertigo, 7.5% (24/321) in patients with tinnitus symptoms, 2.8% (9/321) patients perceived hearing drop, 8.4% (27/321) in patients with pure tone audiometry abnormal, 9% (29/321) patients to abnormal brainstem response (expressed as the wave absolute latency and wave or prolongation). The incidence rate was compared between the two groups of tinnitus, pure tone audiometry, auditory brainstem abnormality rate, the difference was statistically significant. Conclusion migraine patients with vertigo Patients are more likely to appear vestibular cochlear symptoms. This paper aims to deepen the understanding of the impact of migraine on the cochlear and vestibular organs in Department of ENT, so as to provide more accurate assessment and diagnosis for migraine patients.

【作者单位】：新疆维吾尔自治区人民医院耳鼻喉二科;新疆维吾尔自治区人民医院神经内二科;北大人民医院耳鼻喉科;
【基金】：科技部“十二五”科技支撑计划(2012年2012BAI12B02)基金支持:耳源性眩晕机制及诊治方法方案研究
【分类号】：R764;R747.2

【共引文献】