摘要
目的总结前庭性偏头痛(vestibular migraine,VM)与良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)的眼震视图的特点。方法选取2014年11月至2016年6月湘南学院附属医院收治的VM患者(51例)和BPPV患者(53例),对两组眼震视图检查各参数及异常率进行比较。结果BPPV组的眼震潜伏期较VM组更长,持续时间明显缩短,慢向速度减低,差异有统计学意义(P<0.05)。VM组自发眼震试验、平稳跟踪试验、视动性眼震检查、凝视试验、扫视跟踪试验的异常率分别为21.57%、13.73%、29.41%、23.53%、29.41%,明显高于BPPV组(0.00%、0.00%、3.77%、1.89%、0.00%),差异有统计学意义(P<0.05)。VM组温度试验异常情况高于BPPV组,其中以双侧功能低下差异较为明显,差异有统计学意义(P<0.05)。结论眼震视图在对BPPV与VM的鉴别诊断中具有重要的临床意义,能明确诊断疾病类型,为疾病的治疗方式选择提供依据。
Objective To summarize the characteristics of videonystagmusgraphy(VNG)between vestibular migraine(VM)and benign paroxysmal positional vertigo(BPPV).Methods The clinical data of VNG in 51 patients with VM and 53 patients with BPPV were retrospectively analyzed.Results The incubation period of the patients in BPPV group was longer and the duration was shorter and slow velocity was lower than those in VM group(P<0.05).In spontaneous eye shock test,steady tracking test,dynamic nystagmus,staring tests,scanning track test,the abnormal rate were 21.57%,13.73%,29.41%,23.53%,29.41%in VM group,0.00%,0.00%,3.77%,1.89%,0.00%in BPPV group.The abnormal rates in VM group were significantly higher than those in BPPV group(P<0.05).The abnormality of temperature test in VM group was higher than that in BPPV group,and bilateral hypofunction was significantly different(P<0.05).Conclusions VNG has important clinical significance in the differential diagnosis of BPPV and VM,which can clearly diagnose the type of diseaze,and provide the basis for the treatment of the disease.
作者
邓忠
谭东辉
吴尚
罗铭华
曹小国
Deng Zhong;Tan Donghui;Wu Shang;Luo Minghua;Cao Xiaoguo(Department of Otolaryngology,Head and Neck,Affiliated Hospital of Xiangnan University,Chenzhou 423000,China)
出处
《北京医学》
CAS
2020年第9期810-812,共3页
Beijing Medical Journal
基金
湖南省自然科学基金项目(2016JJ6144)
湖南省中医药管理局科研项目(201558)
湖南省医疗技术创新引导项目(2018SK52004)
郴州市科技局科研项目(CZ2015048)。
关键词
前庭性偏头痛
良性阵发性位置眩晕
眼震视图
vestibular migraine(VM)
benign paroxysmal positional vertigo(BPPV)
videonystagmusgraphy(VNG)
