【摘要】：目的探討外側(cè)半規(guī)管良性陣發(fā)性位置性眩暈(LC-BPPV)患者假性自發(fā)性眼震(PSN)的臨床特點(diǎn),并初步探討其臨床意義。方法選取2007年8月—2013年8月于湖北醫(yī)藥學(xué)院附屬人民醫(yī)院收治的LC-BPPV患者199例為研究對(duì)象,根據(jù)冷熱試驗(yàn)和紅外線視頻眼動(dòng)記錄儀觀察自發(fā)性眼震結(jié)果,將患者分為PSN組(34例)和非PSN組(165例)。患者均采用Barbecue翻滾試驗(yàn)治療。結(jié)果兩組性別、LC-BPPV類型、癥狀持續(xù)時(shí)間比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。兩組geotropic型和apogeotropic型癥狀持續(xù)時(shí)間比較,差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。兩組年齡、患側(cè)耳和治療時(shí)間比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組geotropic型和apogeotropic型治療時(shí)間比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。PSN組患者21例PSN方向與Barbecue翻滾試驗(yàn)臥位方向一致,癥狀持續(xù)時(shí)間和治療時(shí)間分別為7.6(1.7)d和8.1(2.1)d,7例PSN方向與Barbecue翻滾試驗(yàn)臥位方向不一致,癥狀持續(xù)時(shí)間和治療時(shí)間分別為11.7(2.2)d和12.2(1.9)d,差異均無統(tǒng)計(jì)學(xué)意義(Z=3.718,P=0.421;Z=3.542,P=0.529)。多元線性回歸分析顯示,PSN進(jìn)入回歸方程,是影響治療時(shí)間的因素(P0.05)。結(jié)論單側(cè)前庭無病變的LCBPPV患者在坐位時(shí)亦可出現(xiàn)自發(fā)性眼震,PSN的發(fā)生提示LC-BPPV患者需更長的治療時(shí)間。
[Abstract]:Objective to investigate the clinical features of pseudospontaneous nystagmus (PSN) in patients with benign paroxysmal positional vertigo (LC-BPPV) of lateral semicircular canal and its clinical significance. Methods from August 2007 to August 2013, 199 patients with LC-BPPV were selected from the affiliated people's Hospital of Hubei Medical College as study subjects. The results of spontaneous nystagmus were observed according to the cold and hot test and infrared video eye motion recorder. The patients were divided into PSN group (34 cases) and non PSN group (165 cases). All patients were treated with Barbecue roll test. Results there was no significant difference in sex, LC-BPPV type and symptom duration between the two groups (P0.05). There was no significant difference in the duration of geotropic and apogeotropic symptoms between the two groups (P0.05). The difference between the two groups was statistically significant (P0.05). There was significant difference between the two groups in the treatment time of geotropic type and apogeotropic type (P0.05) the PSN direction of 21 patients in). PSN group was the same as that of Barbecue rolling test. The symptom duration and treatment time were 7.6 (1.7) d and 8.1 (2.1) d, respectively. The direction of PSN was not consistent with that of Barbecue rolling test. The duration of symptoms and the duration of treatment were 11.7 (2.2) d and 12.2 (1.9) d, respectively. ZH3. 542 (P0. 529). Multiple linear regression analysis showed that PSN entered the regression equation and was a factor affecting treatment time (P0.05). Conclusion spontaneous nystagmus can also occur in patients with LCBPPV without unilateral vestibular lesion in sitting position. The occurrence of PSN suggests that LC-BPPV patients need longer treatment time.
【作者單位】： 湖北醫(yī)藥學(xué)院附屬人民醫(yī)院神經(jīng)內(nèi)科;
【分類號(hào)】：R764

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