本文選題：坐-臥位眼震　切入點：良性陣發(fā)性位置性眩暈　出處：《安徽醫(yī)科大學》2017年碩士論文

【摘要】：目的本研究目的是,通過觀察坐-臥位眼震(SSPN)在良性陣發(fā)性位置性眩暈(BPPV)患者中的臨床表現(xiàn)與特征,來評價其臨床意義,進而探討SSPN對良性陣發(fā)性位置性眩暈的診斷及治療策略制定的價值。方法收集200例就診我科并依據(jù)病史及誘發(fā)試驗診斷為BPPV的病例。所有病例先行坐-臥位試驗(SSPT),再行仰臥側(cè)頭試驗(SRT),最后再行Dix-Hallpike試驗(DHT),依據(jù)SRT、DHT確定BPPV類型并分為后半規(guī)管BPPV組(PSC-BPPV)、水平半規(guī)管BPPV組(HSC-BPPV組)、前半規(guī)管BPPV組(ASC-BPPV組),統(tǒng)計分析各組SSPN誘發(fā)率及特征。結(jié)果200例BPPV患者中116例(58.0%)誘發(fā)出SSPN,其中PSC-BPPV組136例中72例(52.9%)誘發(fā)出SSPN,HSC-BPPV組60例中44例(73.3%)誘發(fā)出SSPN,ASC-BPPV組4例中0例(0%)誘發(fā)出SSPN。PSC-BPPV組誘發(fā)出的SSPN均表現(xiàn)為以眼球上極為標志的,扭轉(zhuǎn)成分向患耳,垂直成分向額側(cè)的垂直扭轉(zhuǎn)性眼震。管石型HSC-BPPV患者41例中28例(68.3%)誘發(fā)出SSPN,22例(78.6%)誘發(fā)出的SSPN指向健側(cè),6例(21.4%)誘發(fā)出的SSPN指向患側(cè);嵴頂結(jié)石型HSC-BPPV患者19例中16例(84.2%)誘發(fā)出SSPN,16例(100%)誘發(fā)出的SSPN指向患側(cè)。結(jié)論SSPN對不同類型BPPV的診斷意義不同,且試驗方法簡單,不額外增加患者因誘發(fā)試驗帶來的不良反應,結(jié)合SSPN可準確、便捷、高效的判斷BPPV受累患側(cè),為耳石復位提供有效的依據(jù)。
[Abstract]:Objective to evaluate the clinical significance of SSPN in patients with benign paroxysmal positional vertigo (BPPV).The value of SSPN in the diagnosis and treatment of benign paroxysmal positional vertigo was discussed.Methods 200 cases of BPPV diagnosed by history and induction test were collected.The induction rate and characteristics of SSPN in each group were analyzed.Results SSPNs were induced in 116 cases of BPPV (58.0%) and 72 cases in PSC-BPPV group (52.9%). (44 cases of 60 cases in PSC-BPPV group (73.3%)) of 4 cases in SSPN.PSC-BPPV group (0 case) induced SSPN in SSPN.PSC-BPPV group were highly marked by eyeball.Torsional component to the ear, vertical component to the frontal side of the vertical torsional nystagmus.In 41 patients with tracheolithiasis type HSC-BPPV, 28 cases (68.3%) induced SSPNN (22 cases, 78.6 cases) (induced SSPN to point to the healthy side (6 cases, 21. 4%)) to the diseased side of SSPN (16 cases (84.2%) of 19 patients with HSC-BPPV with crest stone) induced SSPN pointing to the affected side.Conclusion the diagnostic significance of SSPN for different types of BPPV is different, and the test method is simple, and it does not increase the adverse reaction caused by the induced test. The combination of SSPN and SSPN can accurately, conveniently and efficiently judge the affected side of BPPV.To provide an effective basis for the reduction of otolith.
【學位授予單位】：安徽醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R764

【參考文獻】

相關期刊論文 前10條

1 張云美;楊振棟;于亞峰;;眼震視圖在多管性良性陣發(fā)性位置性眩暈精確定位中的作用[J];臨床耳鼻咽喉頭頸外科雜志;2016年18期

2 文駿雄;馬秀嵐;劉東亮;;五項病史評分表在良性陣發(fā)性位置性眩暈診斷中的意義[J];臨床耳鼻咽喉頭頸外科雜志;2016年10期

3 魯宏華;趙媛;陳太生;徐開旭;王巍;劉強;溫超;李珊珊;李曉R，

本文編號：1719586