特发性突发性感音神经性聋患者耳石器损伤对行走平衡的影响  

The relationship between vestibular function and gait parameters in vestibular dysfunctional patients with idiopathic sudden sensorineural hearing loss

作　　者：周任红 刘波 张甦琳 刘晶晶[1] 王洪昌 孔维佳[1] ZHOU Renhong;LIU Bo;ZHANG Sulin;LIU Jingjing;WANG Hongchang;KONG Weijia(Department of Otorhinolaryngology Head and Neck Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉头颈外科,武汉430022

出　　处：《临床耳鼻咽喉头颈外科杂志》2021年第7期636-640,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：华中科技大学同济医学院附属协和医院“药技护”专项基金(No:02.03.2017-287);“十二五”国家科技支撑计划(No:2012BAI12B02)。

摘　　要：目的:本研究以特发性突发性感音神经性聋(ISSNHL)患者为外周前庭功能异常疾病的模型,在应用视频头脉冲试验(vHIT)、颈性前庭诱发肌源性电位(cVEMP)测试、眼性前庭诱发肌源性电位(oVEMP)测试定位前庭病变部位的基础上,探讨半规管、球囊和椭圆囊功能对行走平衡的影响。方法:对23例单侧ISSNHL患者(其中14例伴眩晕)进行了纯音测听、步行试验、vHIT试验、cVEMP测试和oVEMP测试。结果:椭圆囊功能与步长显著相关,球囊功能分别与步速和步宽显著相关。半规管功能和步态参数没有关系。结论:ISSNHL患者耳石器功能受损可能导致步速减缓、步长变短、步宽变宽。Objective: Based on the application of vHIT, cVEMP test and oVEMP test to locate the peripheral vestibular lesions, we aimed to explore the relationship between vestibular function(semicircular canal and otolith function) and gait parameters in vestibular dysfunctional patients with idiopathic sudden sensorineural hearing loss(ISSNHL). Methods: In this study, 23 ISSNHL patients(including 14 patients with vertigo) were enrolled. All patients underwent audiometry, Walk Across, vHIT, cVEMP test and oVEMP test. Results: Vestibular otolith function was significantly associated with gait parameters. Semicircular canal function was not associated with any gait parameter. Conclusion: Reduced otolith function was associated with slower and wider steps in patients with ISSNHL. These results indicate that vestibular signals may contribute to specific aspects of gait.

关 键 词：聋 突发性 前庭功能 行走平衡 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]