梅尼埃病水平半规管高低频前庭功能特点的初步分析

发布时间：2018-05-09 16:59

本文选题：梅尼埃病 + 频率　；参考：《临床耳鼻咽喉头颈外科杂志》2015年10期

【摘要】：目的:分析梅尼埃病患者水平半规管高低频前庭功能的特点。方法:收集2013-06-2014-06期间30例就诊于我院神经内科眩晕专病门诊确诊为单侧梅尼埃病患者,分别进行冷热试验及视频脉冲甩头试验检查。结果:按冷热试验时患侧半规管轻瘫程度分为正常组、轻度异常组及中重度异常组,随后对各组患者水平半规管高频功能进行分析。视频脉冲甩头试验中半规管增益值反应水平半规管的高频功能,统计发现其在正常组及轻度异常组间的差异无统计学意义(P0.05),而在正常组与中重度异常组、轻度异常组与中重度异常组组间差异有统计学意义(P0.05);半规管增益不对称性反应两侧水平半规管高频功能的对称性,统计发现其在正常组与轻度异常组、正常组与中重度异常组、轻度异常组与中重度异常组间的差异无统计学意义(P0.05)。结论:部分梅尼埃病患者可不出现半规管高低频功能损害。低频功能轻度损害时高频功能基本正常,低频功能中重度损害时才出现高频功能受损,但高频功能两侧对称性基本不变。
[Abstract]:Objective: to analyze the characteristics of high and low frequency vestibular function of horizontal semicircular canal in patients with Meniere's disease. Methods: a total of 30 patients with unilateral Meniere's disease were examined by cold and hot test and video pulse head flick test. Results: according to the degree of hemicircular canal paralysis, the patients were divided into normal group, mild abnormal group and moderate and severe abnormal group. The high frequency function of horizontal semicircular canal in each group was analyzed. The high frequency function of semicircular canal response level in video pulse head flick test showed that there was no significant difference between normal group and mild abnormal group, but there was no significant difference between normal group and moderate and severe abnormal group. There was significant difference between mild abnormal group and moderate and severe abnormal group (P 0.05), the asymmetry of semicircular canal gain reflected the symmetry of high frequency function of horizontal semicircular canal on both sides, and it was found that it was found in normal group and mild abnormal group, normal group and moderate to severe abnormal group. There was no significant difference between mild abnormal group and moderate severe abnormal group (P 0.05). Conclusion: some patients with Meniere's disease do not have high and low frequency function impairment of semicircular canal. The high frequency function is normal when the low frequency function is slightly damaged, and the high frequency function is damaged only when the low frequency function is medium to severe damage, but the symmetry of the two sides of the high frequency function is basically unchanged.
【作者单位】：第二军医大学上海长征医院神经内科;第二军医大学眩晕诊治中心;
【分类号】：R764.3

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