眼震视图在良性阵发性位置性眩晕诊疗中的应用价值  

Clinical application of video nystagmography in the diagnosis and treatment of benign paroxysmal positional vertigo

作　　者：何倩 蔡艳芝 He Qian;Cai Yanzhi(Department of Otolaryngology,Yueqing People's Hospital,Yueqing 325600,Zhejiang Province,China)

机构地区：[1]乐清市人民医院耳鼻咽喉科,乐清325600

出　　处：《中国基层医药》2022年第10期1490-1494,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省温州市医药卫生科研项目(2020021)。

摘　　要：目的分析眼震视图在良性阵发性位置性眩晕诊疗中的应用价值,为临床诊断提供依据。方法选取乐清市人民医院2020年1-7月诊治的疑似良性阵发性位置性眩晕患者120例为研究对象。按照良性阵发性位置性眩晕疾病类型分为前半规管型24例、后半规管型80例、水平半规管型16例。观察眼震视图和裸眼分别在前半规管型、后半规管型、水平半规管型的检出率,并分析前半规管型、后半规管型、水平半规管型在治疗效果中的差异。结果前半规管型、后半规管型、水平半规管型的确诊率分别为91.68%、92.50%和93.75%,差异无统计学意义(χ^(2)=0.06,P>0.05)。前半规管型、后半规管型、水平半规管型的眼震视图检出率分别为91.68%、92.50%和93.75%,明显高于裸眼检出率的58.34%、78.75%和56.25%,差异均有统计学意义(χ^(2)=7.11、6.14、3.86,均P<0.05)。治疗1周后,前半规管型、后半规管型、水平半规管型的总有效率分别为62.50%、66.25%、68.75%,治疗3个月后,前半规管型、后半规管型、水平半规管型的总有效率分别为95.83%、96.25%、100.00%,差异均无统计学意义(χ^(2)=0.18、0.64,均P>0.05)。术后3个月,前半规管型、后半规管型、水平半规管型的复发率分别为4.16%、5.00%、6.25%,差异无统计学意义(χ^(2)=0.08,P>0.05)。结论眼震视图在良性阵发性位置性眩晕诊疗中的应用效果显著,可准确判断良性阵发性位置性眩晕的眼震发生情况,提高检出率,值得推广。Objective To analyze the application of video nystagmography in the diagnosis and treatment of benign paroxysmal positional vertigo(BPPV)so as to provide evidence for clinical diagnosis.Methods A total of 120 patients with suspected BPPV who received treatment in Yueqing People's Hospital from January to July 2020 were included in this study.There were anterior(n=24),posterior(n=80)and horizontal semicircular canal(n=16)BPPV according to the disease type.The detection rates of anterior,posterior and horizontal semicircular canal BPPV by video nystagmography and naked eyes were determined.Therapeutic effects of video nystagmography on three types of BPPV were compared.Results The diagnostic rates of anterior,posterior and horizontal semicircular canal BPPV were 91.68%,92.50%and 93.75%,respectively,and the difference was not statistically significant(χ^(2)=0.06,P>0.05).The detection rates of anterior,posterior and horizontal semicircular canal BPPV by video nystagmography were 91.68%,92.50%and 93.75%respectively,which were significantly higher than those by naked eyes(58.34%,78.75%,56.25%,χ^(2)=7.11,6.14,3.86,all P<0.05).After 1 week of treatment,total response rates of anterior,posterior and horizontal semicircular canal BPPV were 62.50%,66.25%,68.75%,respectively.After 3 months of treatment,total response rates of anterior,posterior and horizontal semicircular canal BPPV were 95.83%,96.25%and 100.00%,respectively.There were no significant differences between anterior,posterior and horizontal semicircular canal BPPV after 1 week and 3 months of treatment(χ^(2)=0.18,0.64,P>0.05).At 3 months after surgery,the recurrence rates of anterior,posterior and horizontal semicircular canal BPPV were 4.16%,5.00%and 6.25%,respectively,and the difference was not statistically significant(χ^(2)=0.08,P>0.05).Conclusion Video nystagmography is highly effective in the diagnosis and treatment of BPPV.It can accurately judge the occurrence of nystagmus in BPPV and increase the detection rate,which is worthy of clinical applicatio

关 键 词：眼震视图 良性阵发性位置性眩晕 裸眼 检出率 半规管 复发率 有效率 诊疗效果 

分 类 号：R764[医药卫生—耳鼻咽喉科]