轻嵴帽病患者的眼震特征及其疗效观察  

Observation on nystagmus characteristics and curative effect of patients with light cupulopathy

作　　者：赵东[1] 姜子刚[1] 王金平[2] 马福然[1] ZHAO Dong;JIANG Zigang;WANG Jinping;MA Furan(Department of Otology,First Hospital of Qinhuangdao,Qinhuangdao,066000,China;Departmentof Geriatrics,First Hospital of Qinhuangdao)

机构地区：[1]秦皇岛市第一医院耳科,河北秦皇岛066000 [2]秦皇岛市第一医院老年病科

出　　处：《临床耳鼻咽喉头颈外科杂志》2020年第6期532-535,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:观察轻嵴帽病患者的眼震特征,并对其疗效进行观察。方法:变向性位置性眼震(DCPN)患者26例,应用全自动耳石复位仪分别对患者进行Supine roll试验、眼震消失平面测试、俯卧-仰卧试验。所有患者均给予Barbecue耳石复位治疗,对比治疗后即时、短期、远期疗效。结果:26例患者均能在一侧找到眼震消失平面,角度范围在15~45°,平均(26.34±8.78)°,8例(30.8%)患者可见自发性眼震,患者俯卧位时眼震指向患侧,仰卧位时眼震指向健侧;Supine roll试验眼震强的一侧为患侧占73.1%,眼震弱的一侧为患侧占26.9%。所有患者在进行Barbecu法复位后,即时、1周、1个月后的痊愈率分别为0、42.3%、88.5%。即时、1周、1个月后的痊愈率比较差异有统计学意义(P<0.01)。结论:持续性向地性DCPN患者的眼震表现符合轻嵴帽假说,可根据眼震消失平面测试、俯卧-仰卧试验对病变侧别进行判定,部分患者不能通过Supine roll试验眼震强弱来判定病变侧别。轻嵴帽病患者行复位无效,但该病具有自愈性。Objective:To describe the characteristics of nystagmus in patients with Light Cupulopathy and to investigate its therapeutic effect.Method:The Supine roll test in our hospital’s otology clinic showed persistent DCPN in 26 patients,who received Supine roll test,null-point position test,and prone-supine test.All patients were treated with barbecue maneuver.The immediate,short-term and long-term effects of treatment were investigated.Result:Null-point position on one side was present in 26 patients.The angles ranged from 15-45°,with an average of(26.34±8.78)°.Spontaneous nystagmus was observed in 30.8%(8/26)patients.The nystagmus was directed to the affected side in prone position and to the healthy side in supine position.Seventy-three percent of the patients had strong nystagmus and 26.9%had weak nystagmus in the Supine roll test.All patients received Barbecue maneuver,and the recovery rates were 0,42.3%and 88.5%immediately,1 week and 1 month after treatment respectively.There was a statistical difference in the recovery rate among immediate,one week and one month later(P<0.01).Conclusion:The nystagmus performance of patients with persistent DCPN conforms to the light cupula hypothesis.The lesion side can be determined according to the null-point position and prone-supine test.The lesion side cannot be determined by the intensity of nystagmus in the Supine roll test in some cases.Repositioning maneuver is ineffective in treating light cupulopathy,but the disease is self-limited.

关 键 词：眩晕 轻嵴帽病 眼震消失平面 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]