作　　者： (刘金梅）; (彭新）; (王恩彤）; (单希征）;

机构地区： 锦州医科大学武警总医院研究生培养基地,辽宁121000

出　　处： 《北京医学》 2017年第8期787-789,共3页

摘　　要： 目的研究自发眼震在特发性良性阵发性位置性眩晕(BPPV)及其不同亚型中的发生率。方法选取2015年7月至2016年5月武警总医院眩晕病研究所收治的特发性BPPV患者作为研究对象。分析自发眼震在BPPV及其不同亚型中的发生率。结果在140例BPPV病例中,有29例伴有自发眼震,其总的发生率为20.7%,后半规管、水平半规管和多半规管BPPV 3组病例的自发眼震发生率分别为11.6%、28.0%和33.3%,差异有统计学意义(χ~2=7.147,P=0.028)。结论自发眼震不仅可存在于水平半规管BPPV患者,也见于其他BPPV亚型患者,水平半规管BPPV及累及有水平半规管的多半规管BPPV患者的自发眼震发生率明显高于后半规管BPPV患者。 Objective To investigate the incidence of spontaneous nystagmus in patients with primary benign par- oxysmal positional vertigo （BPPV） and its variants. Methods Patients with primary BPPV treated between July 2015 and May 2016 were included in this study. The incidences of spontaneous nystagmus in BPPV and its variants were evaluated. The data analysis was performed with SPSS 17.0 statistical software. Results Among the 140 patients with primary BP- PV, 29 patients presented with spontaneous nystagmus, with an overall incidence of 20.7%. The incidences of spontaneous nystagmus in posterior, lateral and multiple canal BPPV subtypes were 11.6%, 28.0% and 33.3%, respectively, with statistically significant difference （X2=7.147, P = 0.028）. Conclusion Spontaneous nystagmus is common in patients with primary BPPV, including BPPV of lateral canal, posterior canal and multiple canals involving lateral and posterior canals.

关 键 词： 良性阵发性位置性眩晕 自发眼震 后半规管 水平半规管 多半规管