Are Meniere’s disease patients with otolith organ impairment more likely to have balance dysfunction?
Are Meniere’s disease patients with otolith organ impairment more likely to have balance dysfunction?
复制标题
耳石器官受损的梅尼埃病患者是否更容易出现平衡功能障碍？
DOI：
10.1080/00016489.2019.1663923
复制
发表时间：
2019
影响因子：
1.4
通讯作者：
Jing Wang
中科院分区：
文献类型：
--
作者：
Yu-Juan Zhou;Qing-Zhong Li;Ying-Qi Gao;Lin-Xi Gao;Zhi-Xiang Zhao;Yong-Zhen Wu;Jing Wang
背景：梅尼埃病（MD）患者可能会出现外周前庭终末器官功能障碍和平衡功能障碍。目的：本研究旨在比较前庭诱发肌源性电位（VEMP）测试与感觉组织测试（SOT）在MD患者中的结果，以确定它们是否相关。材料和方法：总共，132例单侧MD患者进行了评估，使用听力测试，SOT，冷热试验和VEMP测试。结果：132例MD患者进行了颈部VEMP和眼部VEMP测试，患侧的反应率低于健侧。综合评分，C5ES，和C6ES的SOT显着降低，在没有VEMP反应的患者相比，那些与VEMP responses.Conclusions和意义：MD患者没有VEMP反应更容易发展平衡障碍比那些与VEMP反应。因此，耳石器官受损的MD患者可能有平衡障碍，应谨慎行事，以防止福尔斯和随后的伤害。
Background:Patients with Meniere’s disease (MD) may present with peripheral vestibular end organ dysfunction and balance dysfunction.Objective:This study aimed to compare the results of vestibular evoked myogenic potential (VEMP) tests with those of the sensory organization test (SOT) in patients with MD to determine whether they are correlated.Material and methods:In total, 132 patients with unilateral MD were evaluated using an audiometric test, the SOT, a caloric test and VEMP tests.Results:Cervical VEMP and ocular VEMP tests were conducted in 132 patients with MD, and the response rates of the affected side were lower than those of the unaffected side. The composite score, C5ES, and C6ESof the SOT were significantly decreased in patients with no VEMP responses compared to those with VEMP responses.Conclusions and significance:MD patients with no VEMP responses are more likely to develop balance impairment than those with VEMP responses. MD patients with otolith organ impairment may therefore have balance disorders, and should exercise caution to prevent falls and subsequent injuries.