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目的:应用站立海绵垫干扰直立人体本体觉,探讨该方法的临床检查测试——感觉整合和平衡的临床改良测试(mCTSIB)在眩晕患者姿势平衡评价中的意义。方法:对62例前庭末梢病变和44例前庭中枢病变患者进行mCTSIB。共进行4种条件下的测试,T1:睁眼站立于坚硬平板;T2:闭眼站立于坚硬平板;T3:睁眼站立于海绵垫;T4:闭眼站立于海绵垫。每种条件下睁眼和闭眼各站立30s,记录测试中身体倾倒情况,比较患者的mCTSIB和视频眼震图仪(VNG)结果。结果:在前庭末梢病变患者中,mCTSIB的异常率是45.16%(28/62),与VNG的一致率为67.74%(42/62);在前庭中枢病变患者中,mCTSIB的异常率是27.27%(12/44),与VNG的一致率为81.82%(36/44);在所有患者中,mCTSIB的异常率是37.74%(40/106),与VNG的一致率为73.58%(78/106)。以倾倒为参数分析其在前庭末梢和前庭中枢病变患者中出现的异常率,差异无统计学意义(χ2=3.505,P>0.05)。结论:mCTSIB简便易行,虽不能作为鉴别前庭末梢和前庭中枢病变的方法,但适宜于眩晕患者应用感觉信息维持平衡能力的初步评价。
OBJECTIVE: To study the clinical examination of this method by using a standing sponge pad to interfere with the erection of an erected human body, and to explore the significance of mCTSIB in postural equilibrium assessment of vertigo patients. Methods: mCTSIB was performed in 62 cases of vestibular and 44 cases of vestibular central lesions. Tested under four conditions: T1: eyes open on hard plate; T2: eyes closed on hard plate; T3: eyes open on sponge pad; T4: eyes closed on sponge pad. Open eyes and closed eyes stood for 30 seconds under each condition, recording body dumping during the test, and comparing patient mCTSIB and video nystagmus (VNG) results. Results: The abnormal rate of mCTSIB was 45.16% (28/62) in patients with vestibular lesions and 67.74% (42/62) in patients with vestibular lesions. The abnormal rate of mCTSIB in patients with vestibular central lesions was 27.27% (12/44), and the concordance rate with VNG was 81.82% (36/44). The abnormal rate of mCTSIB in all patients was 37.74% (40/106), and that of VNG was 73.58% (78/106 ). The dumping rate was used as a parameter to analyze the abnormal rate in patients with vestibular and vestibular central lesions, the difference was not statistically significant (χ2 = 3.505, P> 0.05). Conclusion: mCTSIB is simple and convenient, although it can not be used as a method to distinguish the vestibular and vestibular central lesions, but it is suitable for the preliminary evaluation of the ability of vertigo patients to maintain the balance of sensory information.