不同头位偏斜角度下健康青年人主观视觉水平线正常值建立及复测信度分析  

Reference ranges and test-retest reliability of subject visual horizontal from different head-tilt angles in young healthy adults

作　　者：李越 马孝宝 沈佳丽 汪玮[1] 王璐[1] 孙进 贺宽 陈向平 杨军[1] 陈建勇[1] LI Yue;MA Xiaobao;SHEN Jiali;WANG Wei;WANG Lu;SUN Jin;HE Kuan;CHEN Xiangping;YANG Jun;CHEN Jianyong(Department of Otorhinolaryngology Head and Neck Surgery,Xinhua Hospital,Shanghai Jiaotong University School of Medicine,Shanghai Jiaotong University School of Medicine Ear Institute,Shanghai Key Laboratory of Translational Medicine on Ear and Nose diseases,Shanghai,200092,China)

机构地区：[1]上海交通大学医学院附属新华医院耳鼻咽喉头颈外科,上海交通大学医学院耳科学研究所,上海市耳鼻疾病转化医学重点实验室,上海200092

出　　处：《临床耳鼻咽喉头颈外科杂志》2024年第10期951-955,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金重点项目(No:82230035);国家自然科学基金面上项目(No:82271179);上海市科委科技支撑项目(No:21S31900600)。

摘　　要：目的:建立不同头位倾斜角度下健康青年人的主观视觉水平线(subjectivevisualhorizontal,SVH)正常值数据,并分析其复测信度,为SVH在前庭系统疾病的精细化诊断和功能评估提供正常值参考。方法:选取31名健康青年人,佩戴虚拟现实眼镜分别测试直立头位0°、头向左侧偏斜45°(L45°)、头向右侧偏斜45°(R45°)、头向左侧偏斜90°(L90°)、头向右侧偏斜90°(R90°)5个不同头位偏斜角度下的SVH数据,并于2周后进行复测。结果:①0°、L45°、R45°、L90°、R90°下的SVH正常值分别为0.30±1.32,5.94±5.54,-11.44±5.32,-0.87±8.63,-2.70±8.02;②0°、L45°、R45°、L90°、R90°SVH的95%CI分别为:(-2.34,2.94)、(-5.14,17.02)、(-22.08,-0.80)、(-18.13,16.39)、(-18.74,13.34);双侧45°偏差绝对值的不对称性比为26.4%;双侧90°偏差绝对值的不对称性比为1.3%;③组内相关系数(intra-classcorrelationcoefficient,ICC)分别为0.625,0.641,0.564,0.769,0.656。结论:SVH具有良好的复测信度,临床测试可靠性高,本研究建立的不同偏斜角度下SVH正常值数据可为前庭系统疾病的精细化诊断和功能评估提供临床参考。Objective To establish the normal values of subjective visual horizontal(SVH)under different head tilt angles,analyze the test-retest reliability,and provide a normal value reference for the refined diagnosis and functional assessment of SVH in clinical vestibular disorders.Methods Thirty-one healthy young people were selected to wear visual reality glasses to test SVH data in five different head tilt angles:upright head position 0°,head tilted 45°to the left(L45°),head tilted 45°to the right(R45°),head tilted 90°to the left(L90°),and head tilted 90°to the right(R90°),and were re-tested 2 weeks later.Results①The normal values of SVH at 0°,L45°,R45°,L90°,and R90°were 0.30±1.32,5.94±5.54,-11.44±5.32,-0.87±8.63,-2.70±8.02,respectively.②The 95%confidence intervals of SVH at 0°,L45°,R45°,L90°,and R90°were:(-2.34,2.94),(-5.14,17.02),(-22.08,-0.80),(-18.13,16.39),(-18.74,13.34),respectively.The ratio of asymmetry in the absolute value of bilateral 45°deviation was 26.4%and the ratio of asymmetry in the absolute value of bilateral 90°deviation was 1.3%.③The intra-class correlation coefficient(ICC)for 0°,L45°,R45°,L90°and R90°was 0.625,0.641,0.564,0.769,0.656,respectively.Conclusion SVH has good test-retest reliability and high clinical test stability and stability.The data on normal values of SVH at different head tilt angles established in this study can provide clinical references for the refined diagnosis and functional assessment of vestibular system disorders.

关 键 词：主观视觉水平线 复测信度 前庭疾病 

分 类 号：R764.34[医药卫生—耳鼻咽喉科]