摇头眼震与前庭冷热试验的互补作用  

Compementation of head shaking nystagmus and bithermal caloric test

作　　者：吴子明[1] 张素珍[1] 周娜[1] 冀飞[1] 陈艾婷[1] 杨伟炎[1] 韩东一[1] 

机构地区：[1]解放军总医院耳鼻咽喉-头颈外科解放军耳鼻咽喉科研究所,北京100853

出　　处：《临床耳鼻咽喉科杂志》2006年第16期727-729,共3页Journal of Clinical Otorhinolaryngology

摘　　要：目的:探讨摇头眼震(HSN)检查与前庭冷热试验前庭系统疾病定侧诊断方面的互补作用。方法:60例眩晕疾病患者均行前庭冷热试验、HSN及相关听力学检查。结果:半规管轻瘫(CP)正常,引出HSN者19例:①HSN的方向与CP方向相反者11例,HSN指向健侧;②HSN的方向与CP方向相同者8例,HSN指向患侧。CP正常,未引出HSN者10例。CP异常,未引出HSN者8例。CP异常,引出HSN者23例:①HSN的方向与CP方向相反者19例;②HSN的方向与CP方向相同者4例,HSN指向患侧。结论:HSN与前庭冷热试验可互为补充,两者联合应用有助于全面了解水平半规管的功能。Objective：To investigate the complementary relation between head shaking nystagmus（HSN） and bithermal caloric test. Method： All of the 60 patients with vertigo were tested with bithermal caloric test, HSN and audiological tests. Result：There were 19 patients with normal CP and HSN, in which 8 had shared the same direction（towards the uninjured side） and 11 indicated opposite direction（HSN towards the lesioned side）. Ten patients had normal CP with no HSN. Eight patients had abnormal CP and no HSN. In 23 patients with abnormal CP and HSN, HSN in 19 patients had opposite direction against that of CP and HSN in 4 patients had the same direction with that of CP （towards the lesioned side）. Conclusion： HSN and bithermal caloric test had the complementary effects and it is helpful to interpret the vestibular function more accurately if they are applied together.

关 键 词：眩晕 摇头眼震 冷热试验 前庭功能试验 

分 类 号：R764.04[医药卫生—耳鼻咽喉科]