摘要
目的:探讨眩晕残障量表(Dizziness Handicap Inventory,DHI)在筛查初诊眩晕患者时鉴别诊断良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)的价值。方法:收集2016年4月至2017年2月在南方医科大学南方医院耳鼻咽喉科门诊就诊的以眩晕或头晕为主诉的患者322位,自行填写中文版DHI和视觉模拟量表(Visual Analogue Scale,VAS)。经详细的前庭功能检查,将患者分为BPPV组、前庭检查正常组和前庭检查异常组。结果:BPPV组的DHI-2项得分为5.52±2.10,明显高于前庭检查正常组(3.94±2.91)(t=3.847,P<0.01)和前庭检查异常组(4.17±2.74)(t=4.149,P<0.01),3组间DHI-2项得分差异有统计学意义(F=9.870,t=4.515,P<0.01)。BPPV组的DHI-条目13得分为3.09±1.39,明显高于前庭检查正常组(1.97±1.63)(t=4.515,P<0.01)和前庭检查异常组(1.95±1.70)(t=5.305,P<0.01),3组间DHI-条目13得分差异有统计学意义(F=16.402,P<0.01)。BPPV组、前庭检查正常组、前庭检查异常组之间VAS得分比较,差异有统计学意义(P<0.05)。但进一步的两组之间的t检验发现:BPPV组和前庭检查异常组之间的差异有统计学意义(P<0.05),而BPPV组和前庭检查正常组之间差异无统计学意义(P>0.05)。结论:DHI-2项和DHI-条目13在初诊眩晕患者时,应该加入到病史询问中去,从而可有效、快速地鉴别BPPV。
Objective： To explore the value of items for the Chinese version of Dizziness Handicap Inventory （DHI） in diff erential diagnosis of benign paroxysmal positional vertigo （BPPV） in patients with vertigo or dizziness fi rst coming to the outpatient clinic. Methods： A total of 322 patients with vertigo or dizziness, who came from Nanfang Hospital, Southern Medical University, were enrolled from April 2016 to February 2017. The Chinese version of DHI and Visual Analogue Scale （VAS） were completed by themselves. After detailed vestibular function examination, the patients were divided into a BPPV group, a normal vestibular group, and a abnormal vestibular group. Results： The score of DHI-2 in the BPPV group was 5.52±2.10, which was higher than that in the normal vestibular group （3.94±2.91）（t=3.847, P〈0.01） and the abnormal vestibular group （4.17±2.74）（t=4.149, P〈0.01）. There were significant differences in the DHI-2 among the 3 groups （F=9.870, t=4.515, P〈0.01）. The score of DHI-item 13 in the BPPV group was 3.09±1.39, which was higher than that in the normal vestibular group （1.97±1.63）（t=4.515, P〈0.01） and the abnormal vestibular group （1.95±1.70）（t=5.305, P〈0.01）. There were significant differences in the DHI-item 13 among the 3 groups （F=16.402, P〈0.01）. There was significant difference in VAS scores among the 3 groups （P〈0.05）. However, the t-test analysis showed that there was significant difference between the BPPV group and the vestibular abnormal group （P〈0.05）, while there was no significant difference between the BPPV group and the vestibular normal group （P〉0.05）. Conclusion： DHI-2 and DHI-item 13 should be included in the inquiry of disease history at the time of first diagnosis, which can be used to identify patients with BPPV quickly and effectively.
作者
李衍菲
李晶兢
李琦
刘小龙
洪旭星
刘友利
LI Yanfei;LI Jingjing;LI Qi;LIU Xiaolong;HONG Xuxing;LIU Youli(Department of Otorhinolaryngology Head and Neck Surgery;Department of Health Management,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)
出处
《中南大学学报（医学版）》
CAS
CSCD
北大核心
2018年第10期1145-1150,共6页
Journal of Central South University ：Medical Science
关键词
良性阵发性位置性眩晕
眩晕残障量表
视觉模拟量表
benign paroxysmal positional vertigo
Dizziness Handicap Inventory
Visual Analog Scale
