良性阵发性位置性眩晕患者不同头位偏斜角度下主观视觉垂直线分析  

Analysis of subjective visual vertical test results in patients with benign paroxysmal positional vertigo at different head deflection angles

作　　者：秦茂林 马孝宝 高德坤 沈佳丽 张勤[2] 金玉莲 王节 杨军[2] 陈建勇[2] QIN Maolin;MA Xiaobao;GAO Dekun;SHEN Jiali;ZHANG Qin;JIN Yulian;WANG Jie;YANG Jun;CHEN Jianyong(Department of Otolaryngology Head and Neck Surgery,Wuhu Hospital,East China Normal University(The Second People’s Hospital of Wuhu),Wuhu 241000,Anhui,China;Department of Otolaryngology Head and Neck Surgery,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)

机构地区：[1]华东师范大学附属芜湖医院(芜湖市第二人民医院)耳鼻咽喉头颈外科,芜湖241000 [2]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200092

出　　处：《中国临床医学》2025年第2期183-187,共5页Chinese Journal of Clinical Medicine

基　　金：国家重点研发计划(2024YFC2511100)。

摘　　要：目的探讨不同头位偏斜角度下主观视觉垂直线(subjective visual vertical,SVV)测试应用于良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)患者椭圆囊功能评价的价值。方法回顾性选择2022年8月至2023年5月在上海交通大学医学院附属新华医院耳鼻咽喉头颈外科听力障碍及眩晕诊治中心诊治的61例BPPV患者,选择29名健康成年人作为对照组。所有入选对象分别完成直立头位(0°)、左头位偏斜45°(L45°)、右头位偏斜45°(R45°)下的SVV测试。比较两组人群在0°、L45°和R45°下的SVV值。结果R45°下,BPPV组SVV绝对值小于对照组(P=0.003);0°和L45°下,两组SVV值差异无统计学意义。不同头位偏斜角度下,左侧BPPV组与对照组SVV值差异均无统计学意义。R45°下,右侧BPPV组的SVV绝对值小于对照组(P<0.001);0°和L45°下,两组SVV值差异无统计学意义。结论SVV测试可以提供有关椭圆囊功能的主观信息,不同头位偏斜角度下的SVV测试有助于精细化评估BPPV患者的椭圆囊功能。Objective To analyze the clinical significance of subjective visual vertical(SVV)tests at different head deflection angles in assessing utricle function in patients with benign paroxysmal positional vertigo(BPPV).Methods A total of 61 BPPV patients who were treated at the Hearing Impairment and Vertigo Diagnosis and Treatment Center of Otolaryngology Head and Neck Surgery,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine from August 2022 to May 2023 were retrospectively included,and 29 healthy adults were selected as controls.SVV tests were performed on all research subjects at different head deflection angles:upright head(0°),left head 45°(L45°),right head 45°(R45°).The test results between the two groups were compared.Results SVV absolute value at R45°in BPPV group was lower than that in the control group(P=0.003);there was no significant difference in SVV values at 0°and L45°between the two groups.There was no statistical difference in SVV values at different head deflection angles between the control group and the left BPPV group.SVV absolute value at R45°in right BPPV group was lower than that in the control group(P<0.001);there was no statistical difference in SVV values at 0°and L45°between the two groups.Conclusions SVV test can provide subjective information about the utricle,and SVV tests at different head deflection angles can fine-tune evaluate the function of the utricle in BPPV patients.

关 键 词：良性阵发性位置性眩晕 主观视觉垂直线 椭圆囊 头位偏斜角度 

分 类 号：R764.34[医药卫生—耳鼻咽喉科]