视频眼动检查在急性前庭综合征诊断中的应用  

Application of video eye movement examination in the diagnosis of acute vestibular syndrome

作　　者：古丽波斯坦·买买提艾力[1] 王子源 陈娟[1] Gulibositan Maimaitiaili;WANG Ziyuan;CHEN Juan(Otolaryngology Diagnosis and Treatment Center,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi,830001,China)

机构地区：[1]新疆维吾尔自治区人民医院耳鼻喉诊疗中心,乌鲁木齐830001

出　　处：《新疆医学》2024年第10期1196-1199,共4页Xinjiang Medical Journal

基　　金：新疆少数民族科技人才特殊培养计划项目(项目编号:2020D03010)

摘　　要：目的探讨视频眼动检查在急性眩晕诊断中价值。方法选取本院2020年3月-2021年3月就诊的35名中枢性眩晕和外周性眩晕患者,作为中枢组和外周组,进行视频眼动检查,并进行两组间的结果比较分析。结果中枢组的病理性自发眼震率为8.57%,而外周组为2.86%,两者之间没有显著性差异(P>0.05);中枢组病理性注视和位置性眼震发生率分别为17.14%和14.29%,外周组分别为0.00%和62.86%,有显著性差异(P<0.05)。结论在临床中枢和外周性眩晕的鉴别诊断中,视频眼震检查能够结合临床症状,能在医生综合研判病情起到辅助作用。Objective To evaluate the diagnostic value of video eye movement examination in acute vertigo.Methods Thirty-five patients with central vertigo or peripheral vertigo treated in our hospital from March 2020 to March 2021 were selected as central group or peripheral group,and video eye movement examination were performed in all cases,and the results between the two groups were compared and analyzed.Results The pathological spontaneous nystagmus rate was 8.57%in central group and 2.86%in peripheral group,and there was no significant difference between them(P>0.05).The incidence of pathological fixation and positional nystagmus was 17.14%and 14.29%in the central group,and 0.00%and 62.86%in the peripheral group,respectively,with significant differences(P<0.05).Conclusion In the differential diagnosis of clinical central and peripheral vertigo in clinical practice,video nystagmography can assist doctors by integrating clinical symptoms and providing support in the comprehensive assessment of the condition.

关 键 词：视频眼动检查 中枢性眩晕 周围性眩晕 诊断价值 

分 类 号：R764[医药卫生—耳鼻咽喉科]