摘要
目的:研究眼震视图在良性阵发性位置性眩晕(BPPV)与前庭性偏头痛(VM)鉴别诊断中的应用。方法:将2019年10月-2021年6月笔者所在医院收治的100例BPPV患者设为BPPV组,将2019年10月-2021年6月笔者所在医院收治的50例VM患者设为VM组。所有患者均进行裸眼及眼震视图检查,比较裸眼及眼震视图鉴别诊断BPPV及VM的诊断效能。比较两组不同体位眼震参数。结果:眼震视图鉴别诊断BPPV的准确度、灵敏度、特异度、阴性预测值及阳性预测值均显著高于裸眼诊断,差异有统计学意义(P<0.05)。两组潜伏期、持续时间、慢向速度比较差异有统计学意义(P<0.05)。结论:眼震视图在VM与BPPV鉴别诊断中有较高效能,能够为临床诊治工作提供准确科学依据。BPPV较VM眼震特征为眼震潜伏期长、持续时间较短,与VM眼震特征存在明显差异。
Objective:To study the application of nystagmus view in the differential diagnosis of benign paroxysmal positional vertigo (BPPV) and vestibular migraine (VM).Method:A total of 100 patients with BPPV admitted in our hospital from October 2019 to June 2021 were set as the BPPV group,and 50 patients with VM admitted in our hospital from October 2019 to June 2021 were set as the VM group.All patients underwent naked eye and nystagmus view examination.The diagnostic efficacy of naked eye and nystagmus view in the differential diagnosis of BPPV and VM was compared.The nystagmus parameters of different postures of the two groups were compared.Result:The accuracy,sensitivity,specificity,negative predictive value and positive predictive value of nystagmus view in differential diagnosis of BPPV were significantly higher than those of naked eye diagnosis,the differences were statistically significant (P<0.05).There were significant differences in incubation period,duration and slow velocity between the two groups (P<0.05).Conclusion:Nystagmus view has high efficacy in the differential diagnosis of VM and BPPV,and can provide accurate scientific basis for clinical diagnosis and treatment.Compared with VM,BPPV has longer nystagmus incubation period and shorter duration,which is obviously different from VM.
作者
梁飞
刘俊平
李垚
LIANG Fei;LIU Junping;LI Yao(Ningde Mindong Hospital Affiliated to Fujian Medical University,Fu’an 355000,China;不详)
出处
《中外医学研究》
2021年第27期64-67,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
良性阵发性位置性眩晕
前庭性偏头痛
眼震视图
诊断效能
Benign paroxysmal positional vertigo
Vestibular migraine
Nystagmus view
Diagnostic efficacy
