前庭症状患者计算机动态姿势图的平衡策略分析  

Analysis of Balance Control Strategies by Computerized Dynamic Posturography in Patients with Vestibular Symptoms

作　　者：吴梅[1] 侯小娟[1] 王子源 唐亮[1] 杨丽[1] WU Mei;HOU Xiaojuan;WANG Ziyuan;TANG Liang;YANG Li(People's Hospital of Xinjiang Uygur Autonomous Region)

机构地区：[1]新疆维吾尔自治区人民医院耳鼻咽喉诊疗中心,乌鲁木齐830001

出　　处：《中华耳科学杂志》2021年第4期592-596,共5页Chinese Journal of Otology

基　　金：新疆自治区自然科学基金项目(编号:2017D01C142)。

摘　　要：目的探讨平衡策略对前庭症状患者维持稳定的影响。方法纳入2019年1月至12月在新疆自治区人民医院就诊的前庭症状患者317例:18岁~59岁组205例,60岁~82岁组112例;同期选择健康体检者为正常对照组,其中18岁~59岁组50例,60岁~80岁组37例。通过SMART Equitest Test计算机动态姿势测试系统评估前庭症状患者平衡策略及全部受试者运动控制能力。结果前庭症状患者采取匹配的平衡策略与采取不匹配的平衡策略引起跌倒的比较差异具有统计学意义(P<0.05);前庭症状≧60岁年龄组MCT潜伏期较同年龄正常对照组,有统计学意义(P值均<0.05);但前庭症状<60岁年龄组MCT潜伏期与同年龄正常对照组比较,无统计学意义(P>0.05)。结论前庭症状患者采用的平衡策略是不匹配的。Objective To evaluate the effect of balance control strategies on postural stability in patients with vestibular symptoms.Methods Study subjects included 317 patients with vestibular symptoms treated at the People's Hospital of Xinjiang Uygur Autonomous Region from January to December 2019(aged 18-59 years[n=205]or 60-82 years[n=112])and 87 healthy controls(aged 18-59 years[n=50]or 60-80 years[n=37]).The balance control strategy in patients and motor control ability in all subjects were evaluated using a Smart EquiTest system.Result The rate of falls was significant different between patients who adopted a matching balance control strategy and those who did not(P<0.05).Latencies in motor control test(MCT)were longer in patients older than 60 years(P<0.05)but not significantly different in those younger than 60 years(P>0.05)as compared to the normal controls.Conclusion Balance control strategies adopted by patients with vestibular symptoms appear to be mismatched with age differences.

关 键 词：计算机动态姿势图 前庭症状 平衡策略 

分 类 号：R767[医药卫生—耳鼻咽喉科]