摘要
目的:分析突发性聋患者前庭诱发肌源性电位(cVEMP)及前庭冷热试验结果,探讨cVEMP及前庭冷热试验与突发性聋患者预后的关系。方法:107例突发性聋患者(患耳113耳)行cVEMP及前庭冷热试验,按记录结果分为cVEMP正常组和cVEMP异常组,前庭冷热试验正常组和前庭冷热试验异常组,分析比较各组治疗效果。结果:cVEMP正常的72耳突发性聋患耳中,42耳(58.33%)治疗有效;cVEMP异常的41耳突发性聋患耳中,12耳(29.27%)治疗有效,2组有效率比较,差异有统计学意义(P<0.05)。冷热试验正常的67耳突发性聋患耳中,40耳(59.70%)治疗有效;冷热试验异常的46耳突发性聋患耳中,14耳(30.43%)治疗有效,2组有效率比较,差异有统计学意义(P<0.05)。cVEMP与冷热试验均异常的21耳治疗无效;cVEMP与冷热试验均正常的47耳中28耳治疗有效,分析比较cVEMP、冷热试验均异常组及两者均正常组的有效率,差异有统计学意义(P<0.05)。结论:cVEMP检查正常者的疗效优于异常者;前庭冷热试验正常耳的疗效优于异常耳;cVEMP与冷热试验均正常的突发性聋患者疗效明显优于两者均异常者。cVEMP及前庭冷热试验检查结果有助于协助判断预后,指导治疗。
Objective：To explore the effect of vestibular evoked myogenic potential and vestibular caloric test on the prognosis of sudden deafness. Method：One hundred and seven patients with sudden deafness were enrolled in this study, the vestibular evoked myogenic potential（cVEMP ） and vestibular caloric test were evaluated（113 ears）. Based upon the results of the tests, patients were divided into cVEMP normal and abnormal groups, vestibular caloric test normal and abnormal groups. The treatment effects were then compared between groups. Result：In seventy-two ears with normal cVEMP, the treatment of 42 ears is effective（58.33%） ; in forty-one ears with abnormal cVEMP the treatment of 12 ears is effective（29.27%）; the difference in the treatment efficiency was significant between the two groups. In sixty-seven ears with normal caloric test, the treatment of 40 ears was effective（59.70%）; and in forty-six ears with abnormal caloric test, the treatment of 14 ears is effective（30.43%）, the difference in the treatment efficiency between the two groups was significant. Additionally, the treatment of 21 ears with both abnormal cVEMP and caloric test showed ineffective, while the treatment of 28 ears with normal cVEMP and caloric test was effective, which showed significant differences. Conclusion： The prognosis of sudden deafness in patients with normal cVEMP and caloric test is better than the patients with abnormal cVEMP and caloric test, indicating that the results of cVEMP and caloric test can be used to help determine the prognosis of sudden deafness in clinical treatment.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2016年第19期1512-1514,1520,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
前庭诱发肌源性电位
冷热试验
聋
突发性
vestibular evoked myogenic potentials
vestibular caloric test
deafness, sudden
