应用mCTSIB评价眩晕患者姿势平衡  

Evaluation of postural characteristics in patients with vertigo by modified clinical test of sensory interaction and balance

作　　者：刘波[1] 孔维佳[1] 赖嫦芹[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉科,武汉430022

出　　处：《临床耳鼻咽喉头颈外科杂志》2009年第4期157-159,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家科技部"十一五"科技支撑计划(No:2007BAI18B13);国家杰出青年基金资助项目(No:39925035);863计划(No:2008AA02Z428)

摘　　要：目的:应用站立海绵垫干扰直立人体本体觉,探讨该方法的临床检查测试——感觉整合和平衡的临床改良测试(mCTSIB)在眩晕患者姿势平衡评价中的意义。方法:对62例前庭末梢病变和44例前庭中枢病变患者进行mCTSIB。共进行4种条件下的测试,T1:睁眼站立于坚硬平板;T2:闭眼站立于坚硬平板;T3:睁眼站立于海绵垫;T4:闭眼站立于海绵垫。每种条件下睁眼和闭眼各站立30s,记录测试中身体倾倒情况,比较患者的mCTSIB和视频眼震图仪(VNG)结果。结果:在前庭末梢病变患者中,mCTSIB的异常率是45.16%(28/62),与VNG的一致率为67.74%(42/62);在前庭中枢病变患者中,mCTSIB的异常率是27.27%(12/44),与VNG的一致率为81.82%(36/44);在所有患者中,mCTSIB的异常率是37.74%(40/106),与VNG的一致率为73.58%(78/106)。以倾倒为参数分析其在前庭末梢和前庭中枢病变患者中出现的异常率,差异无统计学意义(χ2=3.505,P>0.05)。结论:mCTSIB简便易行,虽不能作为鉴别前庭末梢和前庭中枢病变的方法,但适宜于眩晕患者应用感觉信息维持平衡能力的初步评价。Objective：To investigate the application of modified clinical test of sensory interaction and balance （mCTSIB） in the patients with vertigo. Method： One hundred and six patients with vertigo （62 cases with peripher al and 44 cases with central vestibular disorder） were taken the mCTSIB of the firm surface and foam surface with eye open and eye closed for 30 seconds respectively. The standing foam surface was to interrupt the somatosensory and closing eyes was to interrupt the visual input in the postural stability. The falling during the test was recor ded. The results between the mCTSIB and videonystagmography （VNG） were compared. Result：In vestibular pe ripheral disorder, the abnormal of mCTSIB was 45.16M（28/62） and agreement to VNG was 67.74%（42/62）. In vestibular central disorder, the abnormal of mCTSIB was 27.27%（12/44） and agreement to VNG was 81.82% （36/44）. For all these patients with vertigo in this study, the abnormal of mCTSIB was 37.74% （40/106） and agreement to VNG was 73.58% （78/106）. Regarding the falling as abnormality, the mCTSIB was not significant different between the vestibular peripheral and central disorders （χ^2= 3. 505, P〉0.05）. Conclusion： Although the mCTSIB, which was easy to carry out, can not be a method to differentiate the vestibular peripheral and central disorders, it was a suitable to assess the ability of sensory interaction to maintain balance in patients with vertigo.

关 键 词：平衡 姿势描记 海绵 视觉 本体觉 前庭感觉 眩晕 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]