前庭诱发肌源电位评价颈性眩晕与前庭功能的相关性  

Correlation between cervical vertigo and vestibular function evaluated by vestibular evoked myogenic potentials

作　　者：史帆 宋文慧[2] 刘昌文[2] 梁凯恒[2] 马日吉 王子奡 SHI Fan;SONG Wen-hui;LIU Chang-wen;LIANG Kai-heng;MA Ri-ji;WANG Zi-ao(不详;Department of Spine Surgery,the Second Hospital of Shanxi Medical University,Taiyuan030001,Shanxi,China)

机构地区：[1]山西医科大学第二临床学院,山西太原030001 [2]山西医科大学第二医院脊柱外科,山西太原030001

出　　处：《中国骨伤》2022年第2期148-152,共5页China Journal of Orthopaedics and Traumatology

基　　金：山西省应用基础研究项目(编号:201801D121324)。

摘　　要：目的:应用前庭诱发肌源电位评价颈性眩晕与前庭功能的关系,分析颈性眩晕与前庭功能障碍之间的相关性,讨论颈性眩晕发病的相关因素,指导颈性眩晕患者的临床治疗。方法:以2019年8月至2020年7月在山西医科大学第二医院门诊以颈性眩晕为主诉的75例患者作为研究对象设定为患病组,同时选择医院内60例无颈椎及前庭相关疾病者设定为非患病组,其中患病组年龄12~70(46.40±10.91)岁,男25例,女50例;非患病组年龄22~60(43.78±7.75)岁,男19例,女41例。对两组受试者行前庭诱发肌源电位(vestibular evoked myogenic potentials,VEMPs)检查,收集VEMPs的数据资料,对比分析其结果;将颈肌源性前庭诱发肌源性电位(cervical vestibular eoked mogenic ptential,cVEMP)异常的患者根据轻中重3级分组,应用统计学方法分析VEMPs与颈性眩晕及其严重程度之间的相关性。结果:(1)患病组颈性眩晕严重程度:轻度33例,中度34例,重度8例。cVEMP检查:阳性62例,阴性13例,其中轻度13例,中度33例,重度16例。非患病组cVEMP检查:阳性4例,阴性56例。(2)对两组cVEMP等级比较,患病组等级高于非患病组(P<0.001),可以认为颈性眩晕与前庭功能之间存在相关性。(3)对患病组组内进行cVEMP等级与颈性眩晕等级之间的相关性分析,采用Spearman秩和检验,相关性系数为0.687,具有统计学意义(P<0.05),可以认为两指标具有较高程度的相关性。结论:应用前庭诱发肌源电位评价颈性眩晕与前庭功能的关系具有可行性,且对于颈性眩晕的患者,其严重程度越高,前庭诱发肌源电位的阳性率则越大,进而表明其对前庭功能的影响也越大。对于颈性眩晕患者的治疗,应以颈部康复治疗加前庭功能治疗相结合的方法。Objective:To analyze the relationship between cervical vertigo and vestibular function evaluated by vestibular evoked myogenic potentials(VEMPs)and analyze the correlations between cervical vertigo and vestibular dysfunction,discuss the related factors of cervical vertigo and guide the clinical treatment of patients with cervical vertigo.Methods:A total of 75 patients with cervical vertigo as the main complaint in the outpatient clinic of the Second Hospital of Shanxi Medical University from August 2019 to July 2020 were set as the diseased group,and 60 patients without cervical and vestibular related diseases in the hospital were selected to set as non-diseased group.The age of diseased group was 12 to 70 years with an average of(46.40±10.91)years,including 25 males and 50 females;and the age of non-diseased group was 22 to 60 years with an average of(43.78±7.75)years,including 19 males and 51 females.VEMPs were performed in the two groups.The data of VEMPs were collected and the results were compared and analyzed.The patients with abnormal cervical myogenic vestibular evoked myogenic potential(cVEMP)were divided into light,moderate and severe groups.The correlation between VEMPs and cervical vertigo and its severity were analyzed by statistical method.Results:(1)The severity of cervical vertigo in diseased group:33 cases of mild,34 cases of moderate,8 cases of severe;cVEMP examination:62 cases were positive and 13 cases were negative,including 13 cases of mild,33 cases of moderate,16 cases of severe.The cVEMP of non-diseased group:4 cases were positive and 56 cases were negative.(2)The level of cVEMP in diseased group was higher than that in non-diseased group(P<0.001).It can be considered that there was a correlation between cervical vertigo and vestibular function.(3)The correlation between the level of cVEMP and the level of cervical vertigo in diseased group was analyzed.The Spearman rank sum test was used,and the correlation coefficient was 0.687,which was statistically significant(P<0.05).And it can be

关 键 词：颈性眩晕 前庭诱发肌源电位 前庭功能 

分 类 号：R681.5[医药卫生—骨科学]