急性前庭综合征后遗姿势症状患者的前庭功能与康复疗效分析

区永康; 黄秋红; 郑亿庆; 钟俊伟; 陈玲; 李湘辉; 唐小武; 刘鹏; 许耀东

doi:10.13201/j.issn.1001-1781.2016.08.007

急性前庭综合征后遗姿势症状患者的前庭功能与康复疗效分析

- 中山大学孙逸仙纪念医院耳鼻喉科中山大学听力与言语研究所(广州, 510120)
基金项目:
广东省科技计划项目(No:2014A020212097)

科技部"十二五"科技支撑计划(No:201213A112B02)

详细信息

通讯作者: 区永康,E-mail:1543672162@qq.com

中图分类号: R764.3

收稿日期: 2016-02-29

A clinical study into the vestibular function and therapy of patients with chronic positional symptoms after acute vestibular syndrome

- Department of Otolaryngology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, China

More Information

Corresponding author: OU Yongkang, E-mail: 1543672162@qq.com

Received Date: 29 February 2016

摘要

摘要: 目的：探讨外周性急性前庭综合征（AVS）遗留慢性姿势症状患者的前庭功能状况及前庭康复治疗的效果。方法：对37例患者采用冷热试验、摇头试验和颈源性、眼源性前庭诱发肌源性电位（VEMP）进行半规管和耳石器功能评估。采用前庭康复治疗，疗程2个月，根据VEMP结果分为不伴耳石器功能损伤组（A组）和伴耳石器功能损伤组（B组）进行疗效评估，疗效评估采用前庭症状指数（VSI）及Berg平衡量表（BBS）。结果：冷热试验和摇头试验共阳性33例（86.5%），两者均出现阳性结果23例（65.7%），A组22例（59.5%），B组15例（40.5%）。治疗前VSI中的平衡、头晕症状评分B组高于A组，BBS评分A组高于B组，差异有统计学意义（均P<0.05）。两组前庭康复治疗后VSI评分较治疗前明显降低，而BBS评分明显提高，差异均有统计学意义。结论：外周性AVS遗留慢性姿势症状患者均伴不同程度和范围的动态前庭功能损伤，伴耳石器功能损害者平衡功能更差，但通过前庭康复治疗均能获得明显改善。
- 前庭疾病 /
- 姿势症状 /
- 前庭功能 /
- 冷热试验 /
- 摇头试验
Abstract: Objective: To investigate the status of the vestibular function of the patients with chronic positional symptoms after peripheral acute vestibular syndrome(AVS) and the curative effect of the vestibular rehabilitation therapy (VRT).Method: Using caloric test(CT), head shaking nystagmus test (HST), cervical vestibular evoked myogenic potentials as well as ocular vestibular evoked myogenic potentials to estimate the function of semicircular canal and otolith organs. The patients with normal VEMPs are divided as Group A. Otherwise are as Group B. Both groups are treated with VRT. The curative effect is estimated by vestibular symptom index(VSI) and Berg balance scale (BBS).Result: Thirty-three of 37 patients (86.5%) had an abnormal result of CT and HST, with 23 of these patients (65.7%) had an abnormal of both test. Twenty-two patients (59.5%) were in Group A and 15(40.5%) in Group B. Before the therapy, Group B had a higher score of the balance and dizziness symptoms of VSI(P<0.05), and Group A had a higher score of the BBS(P<0.05). After the therapy, the VSI scores of both groups dropped and scores of the BBS raised.Conclusion: Patients with chronic positional symptoms after peripheral AVS have dynamic vestibular lesions to different extents. Those with otolith organs lesions tend to have a worse function of balance. Nevertheless, patients have a better off after VRT.
- vestibular diseases /
- postural symptoms /
- vestibular function /
- caloric test /
- head shaking nystagmus test

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