良性阵发性位置性眩晕患者前庭双温交替试验的特点

发布时间：2018-03-23 15:00

本文选题：良性阵发性位置性眩晕　切入点：前庭双温交替试验　出处：《临床神经病学杂志》2014年02期

【摘要】：目的探讨良性阵发性位置性眩晕(BPPV)患者前庭双温交替试验的特点。方法采用前庭双温交替试验法检测57例BPPV患者(BPPV组)及60名正常对照者(正常对照组)的最大慢相速度和半规管轻瘫(CP)发生率,并对结果进行比较分析。结果 BPPV组眼震最大慢相速度[(14.13±14.22)°/s]与正常对照组[(13.69±12.35)°/s]比较,差异无统计学意义。BPPV组CP 28例(49.1%),正常对照组CP 8例(13.3%),二者比较差异有统计学意义(P0.01)。BPPV组患侧CP发生率明显高于健侧(P0.05)。后半规管BPPV、水平半规管BPPV及上半规管BPPV患者CP发生率比较,差异无统计学意义。结论 BPPV组患者CP发生率增高,且患侧的CP发生率明显高于健侧。前庭双温交替试验有助于BPPV患者的定位诊断。
[Abstract]:Objective to investigate the characteristics of vestibular double temperature alternating test in patients with benign paroxysmal positional vertigo. Methods the maximum value of vestibular double temperature alternating test was detected in 57 patients with BPPV and 60 normal controls. Slow phase velocity and incidence of semicircular canal paresis, Results the maximum slow phase velocity of nystagmus in BPPV group [14.13 卤14.22 掳/ s] was compared with that in normal control group [13.69 卤12.35 掳/ s]. There was no significant difference in CP between BPPV group (n = 28) and normal control group (n = 8). The incidence of CP in the affected side was significantly higher than that in the control group (P < 0.05). The incidence of CP in the patients with horizontal semicircular canal BPPV and upper semicircular canal BPPV was significantly higher than that in the healthy control group (P 0.05), and the incidence of CP in the patients with horizontal semicircular canal BPPV and upper semicircular canal BPPV was significantly higher than that in the control group. Conclusion the incidence of CP in the BPPV group is higher than that in the normal side. The vestibular double temperature alternating test is helpful for the localization diagnosis of BPPV patients.
【作者单位】：福建卫生职业技术学院附属医院(福建省级机关医院)神经内科;
【分类号】：R764

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