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前庭性偏头痛患者前庭功能分析及治疗效果评估

Vestibular Migrain Vestibular Function Analysis and the Evaluation of the Therapeutic Effect

罗婷;李海艳;于焕新;

1:天津市津南区咸水沽医院耳鼻咽喉科

2:天津市环湖医院耳鼻咽喉科

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摘要

目的分析前庭性偏头痛(vestibular migrain,VM)患者的前庭功能并评估其治疗效果。方法对40例前庭性偏头痛患者(VM组)及40例健康志愿者(对照组)分别进行前庭功能相关检查,包括冷热试验、摇头试验、前庭自旋转试验,并分析比较两组的检查结果;对VM患者给予药物治疗及预防,并以视觉评分量表(visual analogue scale,VAS)对VM患者治疗前后进行评分,评估治疗效果。结果VM组患者冷热试验异常15例(37.5%),摇头试验异常13例(32.5%),前庭自旋转异常10例(25%),其中32例(80%)患者至少一项前庭功能试验结果异常;对照组冷热试验异常2例(5%),摇头试验异常1例(2.5%),前庭自旋转异常1例(2.5%);VM组水平半规管功能异常发生率明显高于对照组,差异有统计学意义(P<0.05)。VM患者用药后头痛、头晕的VAS评均分较治疗前明显降低,差异有统计学意义(P<0.05)。结论本组80%VM患者出现前庭功能异常,前庭外周功能及前庭中枢功能均有损害,前庭低频功能损伤较高频功能受损多见;药物治疗可明显缓解VM患者症状。

关键词

前庭性偏头痛;眩晕;前庭功能

基金项目(Foundation):

天津市卫计委科研基金(2015KZ025)资助

作者

罗婷;李海艳;于焕新;

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罗婷李海艳于焕新