本文選題：良性陣發(fā)性位置性眩暈　切入點：平衡功能　出處：《復旦大學》2012年碩士論文　論文類型：學位論文

【摘要】：目的探討不同半規(guī)管類型良性陣發(fā)性位置性眩暈患者平衡功能的特點,明確靜態(tài)和動態(tài)姿勢圖檢查的意義及必要性。 方法44例后半規(guī)管(PSC-BPPV)及22例水平半規(guī)管管內(HSC-BPPV)良性陣發(fā)性位置性眩暈患者,及44例匹配年齡、性別的健康志愿者。測試項目包括：靜態(tài)平衡板試驗：姿態(tài)穩(wěn)定極限Limits of Stability (S max)和重心移動Statokinesigram曲線和面積描計；動態(tài)平衡板試驗：獲得動態(tài)姿態(tài)平衡圖(Stabilogram);睜眼、閉眼左右和前后軸向移動幅度曲線及感覺結構測試SOT結果。記錄所有靜態(tài)姿勢圖參數(shù)及SOT結果。 結果(?)PSC-BPPV組患者睜眼狀態(tài)(E0)靜態(tài)姿勢圖橫向最大偏移Maximum X Amplitude及姿勢圖面積SSKG較HSC-BPPV組更大,兩組間兩參數(shù)比較差異有統(tǒng)計學意義(P值均0.05)；感覺結構分析(SOT), HSC-BPPV組姿勢穩(wěn)定性較PSC-BPPV組差(P0.05)。②PSC-BPPV組靜態(tài)姿勢圖大多數(shù)參數(shù)較正常對照組差,即其平衡功能較對照組明顯降低。睜眼(EO)狀態(tài)下,Mean X、Mean Y、Max Y、SKGL、SKGS、LFS、Limits of Stability、Romberg Quotient差異均有明顯統(tǒng)計學意義(p值均0.01),而Max X差異無統(tǒng)計學意義(p值均0.05)；閉眼(ES)狀態(tài)下,Mean X、Mean Y、差異均有明顯統(tǒng)計學意義(p值均0.01),Max Y、LFS差異有統(tǒng)計學意義(p值均0.05),而Max X、SKGL、SKGS差異無統(tǒng)計學意義(P值均0.05)；PSC-BPPV組動態(tài)姿勢穩(wěn)定較對照組差,差異有明顯統(tǒng)計學意義(p0.01),在去除本體覺和視覺的參與下,前庭覺維持平衡的能力明顯下降。③HSC-BPPV組靜態(tài)姿勢圖大多數(shù)參數(shù)較正常對照組差,睜眼(E0)狀態(tài)下,Mean X、Max X、SKGL、LFS、Romberg Quotient差異均有明顯統(tǒng)計學意義(p值均0.01),Mean Y差異有統(tǒng)計學意義(p值0.05),而Max Y、SKGS差異無統(tǒng)計學意義(p值均0.05)；閉眼狀態(tài)下,Mean X、Max X、LFS差異均有明顯統(tǒng)計學意義(p值均0.01),Mean Y差異有統(tǒng)計學意義(p值0.05),而Max Y、SKGL、SKGS差異無統(tǒng)計學意義(P值均0.05)。HSC-BPPV組動態(tài)姿勢穩(wěn)定較對照組差,差異有明顯統(tǒng)計學意義(p0.01),在去除本體覺和視覺的參與下,前庭覺維持平衡的能力明顯下降。④PSC-BPPV組靜態(tài)姿勢圖SSKG異常率與動態(tài)姿勢圖SOT異常率無差別,而HSC-BPPV組感覺結構測試與靜態(tài)姿勢SSKG結果對照表明感覺結構測試異常率更高。 結論1)PSC-BPPV及HSC-BPPV組靜態(tài)和動態(tài)姿勢穩(wěn)定性較對照組均表現(xiàn)出不同程度的下降。2)PSC-BPPV組靜態(tài)姿勢穩(wěn)定性較HSC-BPPV組差,而與動態(tài)感覺結構測試結果相反,即HSC-BPPV組感覺結構測試較PSC-BPPV組差。3)HSC-BPPV組感覺結構測試與靜態(tài)姿勢SSKG結果對照表明感覺結構測試異常率更高,提示靜態(tài)和動態(tài)姿勢圖同時檢查,對比研究更能較為準確的評定BPPV患者的平衡功能。
[Abstract]:Objective to investigate the characteristics of balance function in patients with benign paroxysmal positional vertigo of different semicircular canal types and to determine the significance and necessity of static and dynamic postural examination. Methods 44 patients with posterior semicircular canal PSC-BPPVs and 22 patients with HSC-BPPVs benign paroxysmal positional vertigo, and 44 patients with matched age. Healthy volunteers of gender. Test items include: static balance board test: attitude stability limit Limits of Stability S max) and center of gravity moving Statokinesigram curve and area plotter; dynamic balance board test: obtain dynamic attitude balance map stabilogramma; open eyes, The amplitude curve of left and right axial movement and sensory structure of closed eyes were measured by SOT. All static postural parameters and SOT results were recorded. The result? In PSC-BPPV group, the maximal lateral deviation of Maximum X Amplitude and the area of SSKG were larger than those of HSC-BPPV group. The difference between the two groups was statistically significant (P = 0.05), and the postural stability of HSC-BPPV group was worse than that of PSC-BPPV group (P 0.05N .2PSC-BPPV group), and most of the static postural parameters in HSC-BPPV group were worse than those in normal control group. That is, the balance function was significantly lower than that of the control group. Under the condition of EO), there were significant differences between the two groups in the Quotient values of Max X, but not in the Max X, and in the condition of closed eyes, there were significant differences in the mean XMY, and the differences in the mean mean Y. under the condition of EOE) were statistically significant, and there were significant differences in the values of Max X between the two groups, and there was no significant difference in the Max X between the two groups under the condition of EO. the difference was significant under the condition of closed eyes (ESs). There was significant difference in P value between 0. 01 and 0. 01% Max YPPV. There was a significant difference between two groups (P < 0. 05). However, there was no significant difference in Max XX SKGLN SKGS. The dynamic postural stability of PSC-BPPV group was lower than that of the control group (P = 0. 05), but not significantly different from that of the control group (P = 0. 05). The difference was statistically significant (P 0.01). With the participation of propriocepts and vision, the ability of vestibule to maintain the balance of vestibule was significantly decreased. Most of the parameters of static postures in the group of 3 HSC-BPPV were worse than those in the normal control group. Under the condition of E0), there were significant differences in the Quotient of mean XX Max, SKGLG, LFSL, Romberg. There were significant differences in P value of 0. 01% and 0. 05% of mean Y, but there was no significant difference between Max and SKGS in all of them. There was a significant difference in mean Y between the two groups (P = 0.05), while there was no significant difference in the dynamic postural stability of the Max YSK GLN SKGS group (P = 0.05). The dynamic postural stability in the HSC-BPPV group was lower than that in the control group. The difference was statistically significant (P 0.01). The ability of vestibular sensation to maintain balance was significantly decreased with the removal of proprioceptive and visual involvement. There was no significant difference between the abnormal rate of SSKG on static postural map and that of SOT in dynamic postural map in the group of .4PSC-BPPV. The results of sensory structure test and static postural SSKG showed that the abnormal rate of sensory structure test was higher in HSC-BPPV group. Conclusion (1) the static and dynamic postural stability of PSC-BPPV and HSC-BPPV group were lower than that of control group. The static postural stability of PSC-BPPV group was worse than that of HSC-BPPV group, but the result was opposite to that of dynamic sensory structure test. That is, the sensory structure test of HSC-BPPV group was worse than that of PSC-BPPV group. Compared with the results of static postural SSKG, the abnormal rate of sensory structure test in HSC-BPPV group was higher than that in PSC-BPPV group, suggesting that both static and dynamic postures were examined at the same time. The comparative study was more accurate in assessing the balance function of BPPV patients.
【學位授予單位】：復旦大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R764

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