| 前庭单温试验的筛选价值分析 |
| |
| 引用本文： | 孙士平,林鹏,陈太生,宋伟,王娜. 前庭单温试验的筛选价值分析[J]. 临床耳鼻咽喉头颈外科杂志, 2009, 23(1) |
| |
| 作者姓名： | 孙士平 林鹏 陈太生 宋伟 王娜 |
| |
| 作者单位： | 1. 天津医科大学-中心临床学院,天津,300070
2. 天津市第一中心医院耳鼻咽喉头颈外科 |
| |
| 摘 要： | 目的:探讨单温试验筛选价值及评估前庭功能的可靠性.方法:1406例眩晕患者分2组进行冷热试验.先冷后热组705例.先热后冷组701例.2组的先冷和先热刺激分别作为单冷、单热试验,计算单温试验单侧前庭反应减退及冷热试验、眼震优势偏向(DP),以冷热试验结果为对照标准.计箅单温试验的灵敏度、特异度、止确诊断指数和Kappa值等.结果:先冷后热组:冷热和单冷试验均阳性428例.均阴性145例,单独阳性分别为85例、47例,单冷试验灵敏度为83.4%,特异度为75.5%.正确诊断指数为0.589,Kappa值为0.555(P<0.01).先热后冷组:冷热和单热试验均阳性429例,均阴性130例,单独阳性分别为82例、60例,单热试验灵敏度为84.0%.特异度为68.4%,上E确诊断指数为0.524,Kappa值为0.505(P<0.01).排除伴有自发性眼震(SN)患者,单冷和单热试验的灵敏度分别为86.9%、86.9%;排除含有DP患者,单冷和单热试验的灵敏度分别为89.3%、88.1%.结论:DP、SN等多种因素影响单温试验结果,单温试验的假阳性率、假阴性率均较高.不宜常规作为冷热试验的筛选试验.
|
| 关 键 词： | 单温试验 冷热试验 前庭 |
To analyze the screening value of vestibular monothermal caloric tests |
| |
| SUN Shiping,LIN Peng,CHEN Taisheng,SONG Wei,WANG Na. To analyze the screening value of vestibular monothermal caloric tests[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2009, 23(1) |
| |
| Authors: | SUN Shiping LIN Peng CHEN Taisheng SONG Wei WANG Na |
| |
| Affiliation: | 1First Center Clinical College of Tianjin Medical University;Tianjin;300070;China;2Department of Otolaryngology Head and Neck Surgery;Tianjin First Central Hospital |
| |
| Abstract: | Objective:To investigate the screening value and the reliability of the monothermal caloric tests (MCT)in evaluating vestibular function.Method:One thousand and four hundred and six vertigo patients were divided into two groups.Seven hundred and five cases were stimulated by different temperature air from cold to warm. The caloric test sequence of other 701 cases was opposite.The first stimulated cold or warm air test was regarded as monothermal cold caloric test (MCCT) or monothermal warm caloric test (MWC... |
| |
| Keywords: | monothermal caloric test bithermal caloric test vestibular |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
