山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (5): 58-60.doi: 10.6040/j.issn.1673-3770.0.2018.075

• ·论著· • 上一篇    下一篇

学龄前和学龄期BPV患儿临床特征比较

刘冰,李蓓,张莉,陈敏,张杰   

  1. 首都医科大学附属北京儿童医院耳鼻咽喉头颈外科, 儿童耳鼻咽喉头颈外科疾病北京市重点实验室, 北京 100045
  • 收稿日期:2018-01-31 出版日期:2018-09-20 发布日期:2018-09-20
  • 通讯作者: 张杰. E-mail:stzhangj@263.net

Clinical Analysis of Benign Paroxysmal Vertigo in preschool and school-age children

LIU Bing, LI Bei, ZHANG Li, CHEN Min, ZHANG Jie   

  1. Department of Otorhinolaryngology-Head and Neck Surgery, Beijing Childrens Hospital, Capital Medical University Beijing, Beijing Key Laboratory for Pediatric Diseases of Otolaryngology-Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing 100045, China
  • Received:2018-01-31 Online:2018-09-20 Published:2018-09-20

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摘要： 目的 探讨学龄前和学龄期良性阵发性眩晕(BPV)患儿临床特征差异性。 方法 选取BPV患儿48例,通过眩晕问卷调查、听力学检查、前庭功能检查,对比分析学龄前和学龄期BPV患儿在临床表现、前庭功能的特点。 结果 48例BPV患儿中男22例、女26例,年龄3~12岁,中位年龄7.0岁;学龄前患儿25例,学龄期患儿23例。学龄前及学龄期患儿临床表现为恶心、呕吐率分别为35.7%(10/28)和64.3%(18/28),平衡功能障碍率分别为85.7%(12/14)和14.3%(2/14),伴发头痛率分别为18.2%(2/11)和81.8%(9/11),学龄前和学龄期患儿恶心、呕吐率、平衡功能障碍率、伴发头痛率比较,差异有统计学意义(P均<0.05);辅助检查中纯音测听、声导抗、高刺激率ABR、前庭冷热气检查方面,学龄前和学龄期患儿比较,差异无统计学意义。 结论 学龄前和学龄期BPV患儿在临床表现、平衡障碍、伴发头痛方面有所不同。

关键词: 前庭功能检查, 良性阵发性眩晕, 儿童

Abstract: Objective To explore the clinical characteristics of benign paroxysmal vertigo(BPV)in preschool and school-age children. Methods Findings from 48 children with BPV, who completed vertigo questionnaires and underwent audiological and vestibular function examinations, were analyzed. Results The patients were 3-12 years old(mean 7.0)and included 22 boys and 26 girls. Twenty-five children were of preschool-age, while 23 were of school-age. The rates of nausea and vomiting in preschool and school-age children were 35.7%(10/28)and 64.3%(18/28), balance dysfunction were 85.7%(12/14)and 14.3%(2/14), and headache were 18.2%(2/11)and 81.8%(9/11), respectively. The difference between the two groups for these three parameters was statistically significant. There was no statistically significant difference between pre-school and school-age children for pure tone audiometry, acoustic conduction, high stimulation rate ABR, and caloric test. Conclusion BPV in preschoolers and school-age children differs with regard to clinical presentation of symptoms such as nausea and vomiting, balance disorder, and headache.

Key words: Vestibular function test, Children, Benign paroxysmal vertigo

中图分类号: 

  • R441.2
[1] Korres SG, Balatsouras DG. Diagnostic, athophysiologic and therapeutic aspects of benign paroxysmal positional vertigo[J]. Otolaryngol Head Neck Surg, 2004, 131(4):438-444.
[2] Drigo P, Carli G, Laverda AM. Benign paroxysmal vertigo of childhood[J]. Brain, 2001, 23(1):38-41.
[3] Headache classification subcommittee of the international headache society. International classification of headache disorders. 2nd edition[J]. ICHD-II, Cephalalgia, 2004, 24(Suppl):9-160.
[4] 黄选兆,汪吉宝.实用耳鼻咽喉科学[M].北京:人民卫生出版社,1998: 714-714.
[5] Basser LS. Benign paroxysmal vertigo of childhood(a variety of vestibular neuronitis)[J]. Brain, 1964, 87(1):141-152.
[6] Finkelhor BK, Harker LA. Benign paroxysmal vertigo of childhood[J]. Laryngoscope, 1987, 97(10):1161-1163.
[7] Benun J. Balance and vertigo in children[J]. Pediatr Rev, 2011, 32(2):84-85.
[8] Al-Twaijri WA, Shevell MI. Pediatric migraine equivalents: occurrence and clinical features in practice[J]. Pediatr Neurol, 2002, 26(5):365-368.
[9] Marcelli V, Russo A, Cristiano E, et al. Benign paroxysmal vertigo of childhood: A 10-year observational follow-up[J]. Cephalalqia, 2015, 35(6):538-544.
[10] 张莉,刘冰,刘海红,等.高刺激率ABR与儿童良性阵发性眩晕的相关性[J].中华耳科学杂志,2015,13(3):416-418. ZHANG Li, LIU Bing, LIU Haihong, et al. Correlation between high stimulus rate auditory brainstem responses and benign paroxysmal vertigo in children[J]. Chin J Otol, 2015,13(3):416-418.
[11] Blayney AW, Colman BH. Dizziness in childhood[J]. Clin Otolaryngol, 1984, 9(2):77-85.
[12] Paola D, Giovanna C, Anna ML. Benign paroxysmal vertigo of childhood[J]. Brain and Development, 2001, 23(1):38-41.
[13] Choung YH, Park K, Moon SK, et al. Various causes and clinical characteristics in vertigo in children with normal eardrums[J]. Int J Pediatr Otorhinolaryngol, 2003, 67(8):889-894.
[14] Erbek SH, Erbek SS, Yilmaz I, et al. Vertigo in childhood: a clinical experience[J]. Int J Pediatr Otorhinolaryngol, 2006, 70(9):1547-1554.
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