重度以上突聋患者VNG及VEMP检查与疗效的评估  

Evaluation of curative effect of VNG and VEMP in patients with severe sudden hearing loss

作　　者：索利敏[1] 司楠楠 靳玲[1] 张磊[1] 孙素芬 宋颖慧 杨洁[1] 李青峰[1] 赵长青[1] SUO Limin;SI Nannan;JIN Ling;ZHANG Lei;SUN Su fen;SONG Yinghui;YANG Jie;LI Qingfeng;ZHAO Changqing(Department of Otolaryngology Head and Neck Surgery,The Second Hospital of Shanxi Medical University,Taiyuan,030001,China)

机构地区：[1]山西医科大学第二医院耳鼻咽喉头颈外科,太原030001

出　　处：《临床耳鼻咽喉头颈外科杂志》2018年第14期1102-1105,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：临床听力学复合式教学模式的探索(No:2011-0305);山西省回国留学人员科研资助项目(No:2017-118)

摘　　要：目的:评估重度以上突聋患者的前庭功能情况,探讨前庭功能检查与其疗效的关系。方法:用视频眼震图(VNG)及前庭诱发肌源性电位(VEMP)技术评估79例重度以上突聋患者的前庭功能。根据检查结果分为VNG与VEMP均正常、VNG正常与VEMP异常、VNG异常与VEMP正常及VNG与VEMP均异常4个组。应用SPSS 22.0软件进行统计分析,重度组与极重度组组内、组间2项检查结果与疗效关系比较均采用χ2检验及Fisher检验,以P<0.05为差异有统计学意义。结果:重度组患者(27例)2项检查结果与疗效之间差异有统计学意义(P<0.01),其中VNG与VEMP均正常组有效率为100%,VNG与VEMP均异常组有效率为41.7%;极重度组患者(52例)2项检查结果与疗效之间差异也有统计学意义(P<0.01),其中VNG与VEMP均正常组有效率为76.9%,VNG与VEMP均异常组有效率为34.6%。重度组和极重度组程度与疗效之间差异无统计学意义。结论:VNG及VEMP检查对重度以上突聋患者的疗效评估有一定的价值。2项检查均异常组疗效最差。Objective：To evaluate the relationship between vestibular function and curative effect in patients with severe sudden hearing loss.Method：The vestibular function of 79 patients with severe hearing loss was examined by video-nystagmography（VNG）and vestibular evoked myogenic potential（VEMP）.Result：There were significant differences between the two test outcomes（P〈0.01）in the severe group（27 cases）.The effective rate of both VNG and VEMP normal group was 100%,the effective rate that both VNG and VEMP were abnormal was 41.7%.In the profound severe group（52 cases）there was also a significant difference between the two test results and the therapeutic effect（P〈0.01）.The effective rate of both VNG and VEMP normal group was 76.9%.The effective rate was 34.6% with both VNG and VEMP abnormal.There was no significant difference between hearing loss degree and curative effect.Conclusion：The VNG and VEMP examinations in patients with severe sudden hearing loss are valuable in evaluating the efficacy.Both VNG and VEMP were abnormal with the worst curative effect.

关 键 词：视频眼震图 前庭诱发肌源性电位 突发性聋 疗效 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]