重度以上突聋患者VNG及VEMP检查与疗效的评估

索利敏; 司楠楠; 靳玲; 张磊; 孙素芬; 宋颖慧; 杨洁; 李青峰; 赵长青

doi:10.13201/j.issn.1001-1781.2018.14.015

重度以上突聋患者VNG及VEMP检查与疗效的评估

- 山西医科大学第二医院耳鼻咽喉头颈外科(太原, 030001)
基金项目:
临床听力学复合式教学模式的探索（No：2011-0305）；山西省回国留学人员科研资助项目（No：2017-118）

详细信息

通讯作者: 索利敏,E-mail:13753134862@163.com

中图分类号: R764.43

收稿日期: 2018-04-16

Evaluation of curative effect of VNG and VEMP in patients with severe sudden hearing loss

- Department of Otolaryngology Head and Neck Surgery, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China

More Information

Corresponding author: SUO Limin, E-mail: 13753134862@163.com

Received Date: 16 April 2018

摘要

摘要: 目的：评估重度以上突聋患者的前庭功能情况，探讨前庭功能检查与其疗效的关系。方法：用视频眼震图（VNG）及前庭诱发肌源性电位（VEMP）技术评估79例重度以上突聋患者的前庭功能。根据检查结果分为VNG与VEMP均正常、VNG正常与VEMP异常、VNG异常与VEMP正常及VNG与VEMP均异常4个组。应用SPSS 22.0软件进行统计分析，重度组与极重度组组内、组间2项检查结果与疗效关系比较均采用χ²检验及Fisher检验，以P<0.05为差异有统计学意义。结果：重度组患者（27例）2项检查结果与疗效之间差异有统计学意义（P<0.01），其中VNG与VEMP均正常组有效率为100%，VNG与VEMP均异常组有效率为41.7%；极重度组患者（52例）2项检查结果与疗效之间差异也有统计学意义（P<0.01），其中VNG与VEMP均正常组有效率为76.9%，VNG与VEMP均异常组有效率为34.6%。重度组和极重度组程度与疗效之间差异无统计学意义。结论：VNG及VEMP检查对重度以上突聋患者的疗效评估有一定的价值。2项检查均异常组疗效最差。
- 视频眼震图 /
- 前庭诱发肌源性电位 /
- 突发性聋 /
- 疗效
Abstract: Objective: To evaluate the relationship between vestibular function and curative effect in patients with severe sudden hearing loss.Method: The vestibular function of 79 patients with severe hearing loss was examined by video-nystagmography (VNG) and vestibular evoked myogenic potential (VEMP).Result: There were significant differences between the two test outcomes (P<0.01) in the severe group (27 cases). The effective rate of both VNG and VEMP normal group was 100%, the effective rate that both VNG and VEMP were abnormal was 41.7%. In the profound severe group (52 cases) there was also a significant difference between the two test results and the therapeutic effect (P<0.01). The effective rate of both VNG and VEMP normal group was 76.9%. The effective rate was 34.6% with both VNG and VEMP abnormal. There was no significant difference between hearing loss degree and curative effect.Conclusion: The VNG and VEMP examinations in patients with severe sudden hearing loss are valuable in evaluating the efficacy. Both VNG and VEMP were abnormal with the worst curative effect.
- video nystagmography /
- vestibular evoked myogenic potential /
- sudden hearing loss /
- efficacy

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