本文關(guān)鍵詞： 前庭性偏頭痛 預(yù)后 變溫試驗 頭脈沖試驗　出處：《臨床耳鼻咽喉頭頸外科雜志》2017年13期 　論文類型：期刊論文

【摘要】：目的:回顧前庭性偏頭疼(VM)患者的變溫試驗、視頻頭脈沖試驗(vHIT)結(jié)果,評價前庭功能檢查在預(yù)測VM患者預(yù)防性治療療效方面的價值。方法:收集VM患者初診時變溫試驗及vHIT檢查結(jié)果,并于預(yù)防性治療6個月后復(fù)查,評價其癥狀改善情況,分成完全緩解(CR)組:無眩暈發(fā)作,不需要繼續(xù)藥物治療;未完全緩解(UR)組:經(jīng)治療仍有眩暈發(fā)作,包括癥狀改善仍需繼續(xù)治療和癥狀完全無改善。結(jié)果:75例患者中15例(15.0%)變溫試驗異常,9例(12.0%)患者vHIT異常。治療6個月后,58例(77.3%)患者完全緩解,17例(22.7%)患者未完全緩解,CR組和UR組之間變溫試驗和vHIT結(jié)果的異常率差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:變溫試驗和vHIT結(jié)果異常表明VM患者存在半規(guī)管功能異常,其眩暈癥狀與前庭外周功能異常密切相關(guān),前庭功能檢查結(jié)果異常的患者可能需要更長時間的預(yù)防性治療或必要的康復(fù)治療。
[Abstract]:Objective: to review the results of temperature change test and video head pulse test in patients with vestibular migraine (VM). To evaluate the value of vestibular function examination in predicting the curative effect of prophylactic therapy in VM patients. Methods: the results of temperature change test and vHIT examination in VM patients were collected and rechecked after 6 months of prophylactic treatment. The symptom improvement was evaluated and divided into two groups: no vertigo attack and no need for continuous medication. After treatment, there were still vertigo attacks, including symptom improvement and no improvement. Results 15 out of 75 patients (15 / 15) were abnormal in hyperthermia test. After 6 months of treatment, 58 patients (77.3) had complete remission and 17 patients had complete remission (22. 7%). There was significant difference in abnormal rate between CR group and UR group in temperature change test and vHIT results (P 0.05). Conclusion: abnormal temperature test and vHIT results indicate that VM patients have abnormal semicircular canal function. Vertigo symptoms are closely related to vestibular peripheral dysfunction. Patients with abnormal vestibular function may need longer prophylactic treatment or necessary rehabilitation.
【作者單位】： 大連市中心醫(yī)院耳鼻咽喉頭頸外科;
【分類號】：R747.2;R764
【正文快照】： 偏頭痛與前庭功能障礙之間的關(guān)系很早就受到歷代醫(yī)生的關(guān)注。前庭性偏頭痛(vestibular mi-graine,VM)作為一種獨立的疾病,2013年被編入國際頭痛疾病分類第3版測試版的附錄[1]后,更是受到越來越多神經(jīng)內(nèi)科、耳鼻咽喉科醫(yī)生的重視。由于該病的病理生理機(jī)制尚不明確,所呈現(xiàn)的復(fù)發(fā)

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