Effects of age and involved semicircular canals on the caloric test in patients with primary horizontal semicircular canal benign paroxysmal positional vertigo
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摘要: 目的探讨年龄和受累半规管对原发性水平半规管良性阵发性位置性眩晕(BPPV)患者双温试验结果的影响。方法选取符合原发性水平半规管BPPV诊断的患者258例为病例组，以头晕/眩晕为主诉的非BPPV患者110例为对照组，两组均按年龄分为老年组和中青年组，对两组的一般资料及双温试验结果进行对比分析。结果① 不同年龄组性别和受累半规管类型之间差异无统计学意义(P>0.05); ②水平半规管管石BPPV患者中，不同年龄组双温试验结果异常率差异无统计学意义(P>0.05); ③水平半规管嵴帽结石BPPV患者中，不同年龄组双温试验结果异常率差异有统计学意义(P < 0.05); ④同年龄组患者中，水平半规管管石和水平半规管嵴帽结石BPPV患者双温试验结果异常率差异无统计学意义(P>0.05); ⑤对照组中，不同年龄组性别差异无统计学意义(P>0.05); ⑥对照组中，不同年龄组双温试验结果异常率差异有统计学意义(P < 0.05); ⑦同年龄组患者中，病例组和对照组年龄分布差异无统计学意义(P>0.05); ⑧同年龄组患者中，病例组和对照组双温试验结果异常率差异无统计学意义(P>0.05)。结论半规管受累并不能影响双温试验结果，但年龄却能影响双温试验结果，尤其对水平半规管嵴帽结石BPPV患者影响较大。Abstract: ObjectiveTo investigate the effects of age and involved semicircular canals on the results of caloric test in patients with primary horizontal semicircular canal benign paroxysmal positional vertigo(BPPV).MethodsA total of 258 patients conforming to the diagnosis of primary horizontal semicircular canal BPPV were selected as the case group, and another 110 non-BPPV patients with dizziness/vertigo as the main complaint were selected as the control group. Both groups were divided into elderly group and young and middle-aged group according to their age, and the general information and the results of the caloric test were compared and analyzed for each group.Results① There was no statistically significant difference in gender composition and type of involved semicircular canal between the different age groups(P > 0.05); ②In patients with horizontal semicircular canal canalolithiasis, there was no statistically significant difference in the rate of abnormal caloric test results between the different age groups(P > 0.05); ③In patients with horizontal semicircular canal cupulolithiasis, there was a statistically significant difference in the rate of abnormal caloric test results between the different age groups(P < 0.05); ④In the same age group, there was no statistically significant difference in the rate of abnormal caloric test results between the patients with horizontal semicircular canal canalolithiasis and the patients with cupulolithiasis(P > 0.05); ⑤In the control group, there was no statistically significant difference between the different age groups in gender composition(P > 0.05); ⑥In the control group, there was a statistically significant difference in the rate of abnormal caloric test results between the different age groups(P < 0.05); ⑦Among the patients in the same age group, there was no statistically significant difference in the age distribution between the case and control groups(P > 0.05); ⑧In patients of the same age group, there was no statistically significant difference in the rate of abnormal caloric test results between the case and control groups(P > 0.05).ConclusionThe involvement of the semicircular canal does not affect the results of the caloric test, but age can affect the results, especially in BPPV patients with horizontal semicircular canal cupulolithiasis.
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Key words:
- vertigo /
- caloric test /
- age /
- canalolithiasis /
- cupulolithiasis
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