摇头试验在水平半规管壶腹嵴帽结石症手法复位恢复周期的临床观察

Application of shakinghead test in HSCCup recovery cycle identification

摘要:

目的探讨摇头试验对水平半规管壶腹嵴帽结石症（horizontal semicircular canal cupulolithiasis,HSCCup）手法复位恢复周期的评估价值。方法对59例HSCCup患者分别进行摇头试验，根据有无摇头眼震分为A组30例（无眼震）、B组29例（有眼震），两组以同样复位手法进行治疗。按照疗效分级标准对患者进行随访，记录分析两组患者的恢复周期，并分析影响患者恢复周期的因素。结果A组中28例在1 d内恢复，余下2例在1周内恢复，平均恢复周期为1.2 d；B组中16例在1 d内恢复，13例在2~4周内恢复,平均恢复周期为19 d。A组平均恢复周期明显短于B组，且摇头眼震的方向、摇头眼震幅度、摇头眼震持续时间、患者既往相关眩晕病史等因素均对恢复周期产生影响（P＜0.05），但性别、年龄不影响恢复周期。结论摇头试验可预测HSCCup患者手法复位后的恢复周期，为后续治疗提供帮助。

关键词:水平半规管壶腹嵴帽结石|摇头试验|恢复周期

Abstract:

Abstract:ObjectiveTo explore the value of shakinghead test to evaluate the restoration recovery cycle of manual reduction for horizontal semicircular canal cupulolithiasis (HSCCup).Methods59 patients suffering from HSCCup were divided into two groups according to the results of shakinghead test, i.e. group A (without nystagmus, n=30) and group B(with nystagmus, n=29). All patients in both groups received treatment with the same repositioning maneuver. The patients were followed up according to the efficacy grading criteria and the recovery cycles of the two groups were recorded , and analysis of the factors affecting the recovery period of patients.ResultsIn group A, 28 cases recovered within one day and the remaining 2 recovered within one week with an average recovery cycle of 1.2 days. In group B, 16 cases recovered within one day, and 13 cases within 2-4 weeks with an average recovery cycle of 19 days; The average recovery period of group A was significantly shorter than that of group B, and factors such as the direction, amplitude, duration and previous history of dizziness of shake head nystagmus affected the recovery period（P＜0.05）, but gender and age could not affect the recovery period.ConclusionThe results of the shakinghead test can be used to predict the recovery cycle of HSCCup and offer assistance for subsequent treatment.

Key words:Horizontal semicircular canal cupulolithiasis|Shakinghead test| Recovery cycle