前庭神经炎患者平衡功能时空特征研究

A study of the spatiotemporal characteristics of balance function in patients with vestibular neuritis

祁志强;陈太生;王巍;毛翔;张雪晴;陈志豪

1:南开大学附属天津市第一中心医院

2:天津市第一中心医院耳鼻咽喉头颈外科

3:天津市耳鼻喉科研究所

4:天津市听觉言语与平衡医学重点实验室

摘要
目的 客观评估前庭神经炎(vestibular neuritis, VN)患者的平衡功能特征。方法 115例VN患者纳入研究,其中急性期(≤14 d)74例,恢复期(>14 d)41例。应用感觉统合试验(sensory organization test, SOT)评估其平衡功能,根据SOT综合评分与各感觉权重情况将患者分为正常型、轻度异常型和重度异常型。通过χ~2检验比较急性期和恢复期患者平衡功能的差异,Logistic回归分析疾病自然病程对平衡功能恢复的影响作用强度。结果 VN患者SOT的异常率为72.2%(83/115),急性期患者异常率78.4%(58/74)显著高于恢复期61.0%(25/41)(P=0.024)。急性期和恢复期患者SOT异常类型有统计学差异(P=0.030),急性期以重度异常型为主,恢复期以正常型和轻度异常型为主。病程在患者SOT恢复过程中发挥着显著影响作用,在校正年龄和性别后,这种作用依然稳健(aOR=1.066,95%CI:1.017~1.118,P=0.008),其中对前庭权重恢复的影响作用最强(aOR=1.112,95%CI:1.058~1.169,P<0.001),且病程对SOT恢复的影响作用只存在于急性期。结论 VN患者多存在平衡功能障碍,且这种平衡障碍的发生率在疾病的不同时期存在明显差异,急性期显著高于恢复期。
关键词
前庭神经炎;感觉统合试验;平衡功能;平衡康复
基金项目(Foundation):
天津市医学重点学科(专科)建设项目(TJYXZDXK-046A);; 天津市津门医学英才(TJSJMYXYC-D2-021)
作者
祁志强;陈太生;王巍;毛翔;张雪晴;陈志豪
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