良性阵发性位置性眩晕患者的冷热试验意义  

Significance of caloric test in patients with benign positional paroxysmal vertigo

作　　者：盖寅哲 孙秀珍[2] 肖芒[1] GE Yinzhe;SUN Xiuzhen;XIAO Mang(Department of ENT,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院耳鼻咽喉头颈外科,浙江杭州310016 [2]大连医科大学附属第二医院耳鼻咽喉头颈外科

出　　处：《全科医学临床与教育》2019年第4期329-331,共3页Clinical Education of General Practice

摘　　要：目的研究良性阵发性位置性眩晕(BPPV)患者眼震视图中冷热试验的特点。方法选择诊断为BPPV的患者126例为研究组,选择100例健康人为对照组。两组患者均行眼震视图检查,比较两组冷热试验结果。研究组进一步分析不同性别和年龄的冷热试验变化。结果研究组患者中出现冷热试验异常者67例(53.17%);对照组中有9例(9.00%)出现异常。研究组出现冷热试验异常比例明显高于对照组(χ~2=48.74,P<0.05)。不同性别的冷热试验结果比较,差异无统计学意义(χ~2=0.08,P>0.05),冷热试验异常率随年龄增加而增加,差异有统计学意义(χ~2=28.77,P<0.05)。结论冷热试验在BPPV患者诊断中占有重要地位。冷热试验的结果与患者性别无关,与年龄有关。Objective To analyze the characteristics of caloric test in video nystagmograph(VNG)of benign paroxysmal positional vertigo(BPPV).Methods A total of 126 patients with BPPV were collected as the study group,while 100 healthy people were selected as the control group.The patients of both groups underwent nystagmus examination and the results of caloric test between the two groups were compared.The caloric test between different genders and ages were further analyzed in study group.Results In the study group,67 patients(53.17%)had abnormal caloric tests,while 9 cases in the control had abnormalities(9.00%).The abnormality of the caloric test in the study group was significantly higher than that in the control group(χ^2=48.74,P<0.05).There was no significant difference in caloric test results between different genders(χ^2=0.08,P>0.05).The abnormal rate of caloric test were increased with the ages,the diffe?rence was statistically significant(χ^2=28.77,P<0.05).Conclusion The caloric test palys an important role in the diagnosis of BPPV.The result of the caloric test is correlated with the patient’s age but not the gender.

关 键 词：良性阵发性位置性眩晕 眼震视图 冷热试验 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]