儿童复发性眩晕伴单侧前庭功能障碍临床特点及预后相关因素分析
Clinical features and prognostic related factors analysis of recurrent vertigo of childhood with unilateral vestibular dysfunction
马宁 1刘瀚迪 2刘冰 1刘薇 1杨扬 1张杰1
作者信息
- 1. 国家儿童医学中心/首都医科大学附属北京儿童医院耳鼻咽喉头颈外科,北京 100045;儿童耳鼻咽喉头颈外科疾病北京市重点实验室,北京 100045
- 2. 国家儿童医学中心/首都医科大学附属北京儿童医院耳鼻咽喉头颈外科,北京 100045
- 折叠
摘要
目的 了解儿童复发性眩晕伴单侧外周前庭功能障碍患儿临床特点及预后相关因素.方法 回顾性分析2022年1月～2023年1月北京儿童医院耳鼻咽喉头颈外科就诊的儿童复发性眩晕伴单侧外周前庭功能障碍患儿临床资料,对数据进行统计学分析.结果 42例患儿纳入研究,年龄4～13(7.95±0.415)岁.病程平均6.01±1.618周,合并非偏头痛性头痛23.8%,合并晕车26.2%,1个月内有呼吸道感染病史者占23.8%.进行前庭康复训练者有61.9%(26/42).治疗1个月时,前庭症状治愈率为66.67%,双温试验恢复率为73.80%.治疗1个月时两组比较,儿童前庭症状问卷差异有统计学意义(P=0.001).前庭康复训练治疗与前庭症状治愈率相关(P=0.004),与双温试验恢复率无关(P=0.148).结论 儿童复发性眩晕伴单侧外周前庭功能障碍,除药物对症治疗外,建议进行前庭康复训练,达到更高临床症状缓解率.
Abstract
OBJECTIVE To investigate the clinical characteristics and prognosis of recurrent vertigo of childhood with unilateral peripheral vestibular dysfunction,and to analyze the prognostic factors.METHODS The clinical data of children with recurrent vertigo with unilateral peripheral vestibular dysfunction treated in the Department of Otolaryngology Head and Neck Surgery of Beijing Children's Hospital from January 2022 to January 2023 were analyzed retrospectively.RESULTS There were 42 children who were included in the study,the age ranged from 4 to 13 years old,and the age was(7.95±0.415)years old.The duration of disease was(6.01±1.618)weeks,23.8%of patients had non-migraine headache,26.2%had motion sickness,and 23.8%had respiratory tract infection within 1 month.Vestibular rehabilitation was performed in 26 cases(61.9%).After 1 month of treatment,the cure rate of vestibular symptoms was 66.67%,and the recovery rate of caloric test was 73.80%,PVSQ was significantly different between the two groups(P=0.001).VR treatment was associated with vestibular symptom cure rate(P=0.004),but not with recovery rate of double-temperature test(P=0.148).CONCLUSION In addition to symptomatic treatment,vestibular rehabilitation training is recommended to achieve a higher clinical symptom remission rate in recurrent vertigo pediatrics with unilateral peripheral vestibular dysfunction.
关键词
前庭疾病/眩晕/儿童/预后/前庭康复训练/儿童复发性眩晕/单侧前庭功能障碍Key words
Vestibular Diseases/Vertigo/Child/Prognosis/vestibular rehabilitation/recurrent vertigo of childhood/unilateral vestibular dysfunction引用本文复制引用
基金项目
首都医科大学教育教学改革研究课题(2022JYY268)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据