%0 Journal Article
%T 原发性良性阵发性位置性眩晕患者双温试验及纯音测听分析
%A 李代波
%A 戴晴晴
%A 尹蓉
%A 郑虹
%J 华西医学
%P 726-729
%D 2011
%X 【】　目的　了解原发性良性阵发性位置性眩晕（benignparoxysmalpositionalvertigo，BPPV）的双温试验及纯音测听结果临床特点。　方法　2009年6月―2010年6月诊断为原发性BPPV患者54例，于手法复位前行双温试验及纯音听阈测试，分析原发性BPPV患者的双温试验、纯音测听结果的临床特点。　结果　40例患耳无半规管轻瘫，其病程为（4.25±2.75）周，14例患耳半规管轻瘫，其病程为（9.21±5.85）周，两组间平均病程差异具有统计学意义（t=4.235，P0.05）；39例后半规管BPPV中16例患耳听力下降，15例水平半规管BPPV中7例患耳听力下降，两组患耳纯音测听异常率无明显统计学差异（χ2=0.141，P>0.05）。　结论　原发性后半规管BPPV与水平半规管BPPV半规管轻瘫及纯音听阈异常发生率相近，病程长者更易出现半规管轻瘫。【Abstract】　Objective　Toinvestigatetheclinicalfeaturesofresultsofbithermaltestandpuretonetestforpatientswithidiopathicbenignparoxysmalpositionalvertigo(BPPV),anddiscussstrategiesforprevention.　Methods　Atotalof54patientsdiagnosedtohaveBPPVduringJune2009toJune2010underwentbithermalcalorictestandpuretonetestbeforeparticlerepositioningmaneuver.Then,weanalyzedtheclinicalfeaturesofthetestresults.　Results　Thecourseof40patientswithcanalparesis(CP)was(4.25±2.75)weeks,whichhadasignificantdifferencefromthecourseof14patientswithCPintheabnormalside,whichwas(9.21±5.85)weeks(t=4.235,P0.05).Sixteenoutofthe39PSC-BPPVpatientsandsevenoutofthe15HSC-BPPVpatientshadhearingloss(HL)intheabnormalearwithnostatisticaldifferencebetweenthetwogroupsofpatientsintheincidenceofhearingloss(χ2=0.141,P>0.05).　Conclusion　TheincidenceofCPandHLintheabnormalearofpatientswithHSC-BPPVandPSC-BPPVissimilar,andpatientswithlongcourseofdiseasearemorelikelytohaveCP.
%K 原发性良性阵发性位置性眩晕
%K 双温试验
%K 听力
%U http://www.hxyxqk.com.cn/oa/DArticle.aspx?type=view&id=201105025