衰老对眩晕患者冷热试验最大慢相角速度结果的影响  

Effect of aging on the results of maximum slow phase velocity in the caloric test of patients with vertigo

作　　者：张景华 李长青[1] 高茂龙[2] 董淑萍[1] 郭冰艳 张玉洁 ZHANG Jinghua;LI Changqing;GAO Maolong;DONG Shuping;GUO Bingyan;ZHANG Yujie(Department of Otorhinolaryngology;Institute of Clinical and Rehabilitation of Geriatrics,Beijing Geriatric Hospital,Beijing 100095,China)

机构地区：[1]北京老年医院耳鼻咽喉科,北京100095 [2]北京老年医院老年病临床与康复研究所,北京100095

出　　处：《中国耳鼻咽喉颅底外科杂志》2020年第4期439-442,447,共5页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：北京市“十百千”卫生人才经费资助(85517460);北京市优秀人才资助(2012D003034000007);北京老年医院“525”人才培养计划联合资助。

摘　　要：目的分析不同年龄组眩晕患者冷热试验的最大慢相角速度(maxSPV)的平均值有无差异,探讨衰老对眩晕患者冷热试验结果的影响。方法前瞻性收集2015年3月—2018年11月就诊北京老年医院眩晕门诊的228例患者,年龄14~88岁。所有患者分成3组,60岁以下为A组,60~79岁为B组,80岁以上为C组,应用SPSS 17.0统计软件分析3组患者冷热试验的maxSPV的平均值有无差异。结果3组患者之间比较差异具有统计学意义(F=3.203,P=0.042),A组与B组之间差异无统计学意义(P=0.567),C组与A组、B组差异具有统计学意义(P=0.037,P=0.013)。结论只有在高龄患者中,冷热试验maxSPV的平均值才出现明显下降,提示衰老可能影响眩晕患者的冷热试验。Objective To explore the effect of aging on the parameters of the caloric test via analyzing the difference of the mean values of maximum slow phase velocity(maxSPV)in patients with vertigo in different age groups.Methods Two hundred and twenty-eight patients,aged from 14 to 88 years old,who were admitted to the vertigo clinic of Beijing Geriatric Hospital from March 2015 to Nov 2018,were prospectively collected.All patients were divided into 3 groups:group A(below 60 years),group B(60 to 79 years),and group C(over 80 years).The mean values of maxSPV in the caloric test among the three groups were analyzed by SPSS 17.0 statistical software.Results The differences of the mean values of maxSPV among the three groups were statistically significant(F=3.203,P=0.042).There was no significant difference between group A and group B(P=0.567),while the difference between group C and group A and that between group B and group C were both statistically significant(P=0.037,P=0.013).Conclusion The mean value of maxSPV in the caloric test shows a significant decline only in elderly patients,which indicates that aging may affect the caloric test in patients with vertigo.

关 键 词：眩晕 衰老 冷热试验 前庭功能试验 平衡障碍 

分 类 号：R764.33[医药卫生—耳鼻咽喉科]