前庭性偏头痛患者前庭功能变化情况及临床特点分析  

Analysis of changes and clinical characteristics of vestibular function in patients with vestibular migraine

作　　者：封红春[1] 刘锋昌 FENG Hong-chun;LIU Feng-chang(No.2 Neurology Department,Xi'an North Hospital,Xi'an 710043,China)

机构地区：[1]陕西省西安市北方医院神经内二科

出　　处：《临床医学研究与实践》2020年第1期79-81,共3页Clinical Research and Practice

摘　　要：目的分析前庭性偏头痛患者前庭功能变化情况及临床特点。方法选取我院2018年1月至2019年6月收治的60例前庭性偏头痛患者,设为观察组;另选取2018年1月至2019年6月于我院接受常规体检的60例健康成年人,设为对照组。对比两组前庭功能,获取观察组患者前庭功能变化情况,同时结合其临床资料分析病情特点。结果观察组冷热试验、视频头脉冲试验、听阈、气骨导、声导抗异常率分别为51.67%、78.33%、10.00%、8.33%、15.00%,均高于对照组的11.67%、11.67%、1.67%、0.00%、0.00%,差异具有统计学意义(P<0.05)。观察组患者平均前庭症状持续时间为(6.2±1.1)h,普遍偏长;在观察组患者中,42例(70.00%)前庭症状持续时间偏长、36例(60.00%)眩晕、31例(51.67%)畏光、33例(55.00%)畏声、19例(31.67%)视觉先兆,均以中年多发、女性多发为主要特点。结论前庭性偏头痛患者前庭功能出现明显变化,且临床特点多样,前庭功能变化是导致临床症状和症状加重的主要因素。Objective To analyze the changes and clinical characteristics of vestibular function in patients with vestibular migraine.Methods Sixty patients with vestibular migraine admitted in our hospital from January 2018 to June 2019 were selected as observation group;another 60 healthy adults who received routine physical examination in our hospital from January 2018 to June 2019 were selected as control group.The vestibular function of the two groups were compared.The changes of vestibular function of the patients in the observation group were obtained,and the characteristics of the disease were analyzed in combination with their clinical data.Results The abnormal rates of cold and heat test,video head impulse test,hearing threshold,air bone conduction and acoustic conduction resistance in the observation group were 51.67%,78.33%,10.00%,8.33%and 15.00%respectively,which were higher than 11.67%,11.67%,1.67%,0.00%and 0.00%in the control group,and the differences were statistically significant(P<0.05).The average duration of vestibular symptoms in the observation group was(6.2±1.1)h,which were generally longer.In the observation group,42 patients(70.00%)had long vestibular symptoms,36 patients(60.00%)had vertigo,31 patients(51.67%)had photophobia,33 patients(55.00%)had voice fear,and 19 patients(31.67%)had visual aura,all of which were characterized by multiple onset in middle age and women.Conclusion The vestibular function changes obviously in patients with vestibular migraine,and the clinical features are various.Vestibular function changes are the main factors leading to clinical symptoms and aggravation of symptoms.

关 键 词：前庭性偏头痛 前庭功能 听阈异常 前庭症状 气骨导异常 

分 类 号：R764.4[医药卫生—耳鼻咽喉科]