Spitzer J B
Audiology and Speech Pathology Section, Department of Veterans Affairs Medical Center, West Haven, CT 06516.
Eur Arch Otorhinolaryngol. 1990;247(2):114-8. doi: 10.1007/BF00183180.
Although descriptions of dizziness constitute a major category of complaints among patients seen in many clinical practices, the actual significance of the patient's report of symptoms has been disputed. Furthermore, the relationship of report to outcomes of clinical tests of the audio-vestibular system has not been well described. The present study examined the relationship of a self-report measure to results of electronystagmographic and audiometric evaluations in a consecutive sampling of patients at a Veterans Administration Medical Center. The findings reflected poor predictability of peripheral vestibular involvement when using the self-reporting questionnaire by patients, even when combined with audiometric observations. The utility of the self-report approach is discussed.
尽管在许多临床实践中，头晕的描述是患者投诉的主要类别之一，但患者症状报告的实际意义一直存在争议。此外，症状报告与听-前庭系统临床测试结果之间的关系尚未得到充分描述。本研究在一家退伍军人管理局医疗中心对患者进行连续抽样，考察了自我报告测量与眼震电图和听力评估结果之间的关系。研究结果表明，即使结合听力检查结果，患者使用自我报告问卷时，对外周前庭受累情况的预测性也较差。本文讨论了自我报告方法的实用性。
