以临床症状为依据的问卷法在主观性BPPV患者筛查中的应用  

作　　者：周思彦 时晨 张云美[2] 

机构地区：[1]苏州市吴中人民医院,江苏苏州215128 [2]苏州大学附属第一医院,江苏苏州215006

出　　处：《浙江临床医学》2023年第9期1333-1336,共4页Zhejiang Clinical Medical Journal

摘　　要：目的探讨以临床症状为依据的问卷在主观性良性阵发性位置性眩晕(BPPV)患者筛查中的应用,并通过信效度分析方法评估其应用价值。方法选取297例未诱发出眼震的疑似BPPV患者进行转椅复位治疗,同时患者填写由耳科医师设计的初稿问卷。根据复位效果,将复位有效者列入主观性BPPV组,复位无效患者列入对照组,并对两组问卷结果进行比较分析,选取有显著差异的问卷条目,组成终稿问卷。接着对终稿问卷进行信度和效度检验,并通过ROC曲线检验问卷的诊断价值。结果复位治疗结果显示有效患者162例,无效患者135例,无效患者中101例后来明确诊断为其它外周或中枢性眩晕,34例仍未确诊者被剔除。初稿问卷共13个条目,选取两组问卷结果有显著差异的10个条目,组成终稿问卷。终稿问卷信效度检验结果显示内部一致性良好,效度良好,诊断准确率达83.9%。结论以临床症状为依据的问卷在主观性BPPV患者的筛查中具有较好的临床应用价值。Objective To explore the application of questionnaire based on clinical symptoms in the screening of subjective benign paroxysmal positional vertigo.To explore the application value of questionnaire through reliability and validity analysis.Methods A total of 297 patients with suspected BPPV who did not induce nystagmus were selected for mechanical assistancecanalith repositioning maneuvers,and the patients filled out thedraft questionnaire designed by otologists.According to the reduction effect,the patients with effective reduction were included in the subjective BPPV group,and the patients with ineffective reduction were included in the control group,and the questionnaire results of the two groups were compared and analyzed.The questionnaire items with significant differences were selected to form the final questionnaire.Then,the reliability and validity of the final questionnaire were tested,and the diagnostic value of the questionnaire was tested by ROC curve.Results The results ofcanalith repositioning maneuvers showed that there were 162 effective patients and 135 ineffective patients.Among the ineffective patients,101 patients were later diagnosed with other peripheral or central vertigo,and 34 undiagnosed patients were excluded.There are 13 items in the draft questionnaire,and 10 items with significant differences in the results of the two groups of questionnaires are selected to form the final questionnaire.The reliability and validity test results of the final questionnaire showed good internal consistency and validity,and the diagnostic accuracy rate was 83.9%.Conclusion Questionnaires based on clinical symptoms have good clinical application value in the screening of subjective benign paroxysmal positional vertigo.

关 键 词：眩晕 位置性眩晕 主观性良性阵发性位置性眩晕 问卷 信度 效度 

分 类 号：R764.33[医药卫生—耳鼻咽喉科]