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首页> 外文期刊>International Journal of Otolaryngology and Head & Neck Surgery >The Treatment of Peripheral Vestibular Dysfunction Using Caloric Vestibular Stimulation in Patients with Cerebral Hypertensive Crisis
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The Treatment of Peripheral Vestibular Dysfunction Using Caloric Vestibular Stimulation in Patients with Cerebral Hypertensive Crisis

机译：高血压前庭热刺激治疗周围型前庭功能障碍

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Background: To verify the efficacy of caloric vestibular stimulation in patients with peripheral vestibular dysfunction after cerebral hypertensive crisis. Methods: Enrolled in the study were 60 patients with peripheral vestibular dysfunction caused by a cerebral hypertensive crisis, docu-mented by vestibulometry. Thirty patients underwent standard treatment plus caloric vestibular stimulation, and 30 control group patients received standard treatment alone. Results: After the two-week treatment course, the sensation of vertigo was observed in 40.0% ± 8.9% of treatment group patients compared with 80.0% ± 7.3% of control group patients (t = 3.46; p < 0.001). Spontaneous vestibular somatic reactions were found in 46.7% ± 9.1% of the study treatment group in contrast to 86.7% ± 6.2% of the control group (t = 3.63; p < 0.001). Spontaneous nystagmus was seen in 40.0% ± 8.9% of treatment group patients compared with 93.3% ± 4.6% of control subjects (t = 5.31; p < 0.001). Spontaneous vestibular vegetative reactions were observed in 33.3% ± 8.6% of patients receiving study treatment in contrast to 93.3% ± 4.6% of control group patients (t = 6.16; p < 0.001). Also, 53.3% ± 9.1% of study treatment group patients showed asymmetry of labyrinths compared with 86.7% ± 6.2% of patients from the control group (t = 3.03; p < 0.001). Conclusion: Caloric vestibular stimulation was shown to be an effective treatment for peripheral vestibular dysfunction in patients with cerebral hypertensive crisis. During the 14-day treatment of cerebral hypertensive crisis, complete labyrinthine function recovery occurred in 46.7% of treatment group patients who underwent caloric vestibular stimulation as opposed to 13.3% of control group patients who received standard treatment alone.
机译：背景：验证热量前庭刺激对脑高血压危机后周围前庭功能障碍患者的疗效。方法：该研究纳入了60例因脑高血压病引起的周围前庭功能障碍的患者，并采用前庭波谱法记录。 30名患者接受了标准治疗加热量前庭刺激，而30名对照组患者仅接受了标准治疗。结果：经过两周的治疗，治疗组患者的眩晕感觉为40.0％±8.9％，而对照组患者为80.0％±7.3％（t = 3.46; p <0.001） 。研究治疗组的自发前庭体细胞反应为46.7％±9.1％，而对照组为86.7％±6.2％（t = 3.63; p <0.001）。治疗组患者中自发性眼球震颤见于40.0％±8.9％，对照组为93.3％±4.6％（t = 5.31; p <0.001）。在接受研究治疗的患者中，观察到自发的前庭植物反应为33.3％±8.6％，而对照组患者为93.3％±4.6％（t = 6.16; p <0.001）。此外，研究治疗组患者的迷宫不对称性为53.3％±9.1％，而对照组患者为86.7％±6.2％（t = 3.03; p <0.001）。结论：热量前庭刺激被证明是治疗脑高血压危象患者外周前庭功能障碍的有效方法。在14天的脑性高血压危机治疗期间，接受热前庭刺激的治疗组患者中46.7％的患者完全迷宫功能恢复，而仅接受标准治疗的对照组患者中则为13.3％。

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