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87例耳蜗性偏头痛患者的临床特征分析

[Analysis of clinical characteristics of 87 patients with cochlear migraine].

作者信息

Xie Cuncun, Niu Wenxia, Ding Shaoguang, Jia Xiaodong, Ding Xiaoli, Wang Guangke, Song Jijun, Liu Hongjian

机构信息

Department of Otorhinolaryngology Head and Neck Surgery,Henan Provincial People's Hospital,People's Hospital of Zhengzhou University,People's Hospital of Henan University,Zhengzhou,450003,China.

Department of Otorhinolaryngology Head and Neck Surgery,People's Hospital of Henan University,Henan Provincial People's Hospital.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Feb;35(2):112-115. doi: 10.13201/j.issn.2096-7993.2021.02.005.

Abstract

The aim of this study is to analyze the clinical features of cochlear migraine. The clinical data of cases of cochlear migraine were collected, and the clinical symptoms and hearing examination results were analyzed. The ratio of male to female patients with cochlear migraine was 1∶3.1; the peak incidence was between 30 to 60 years old; the clinical symptoms were tinnitus in 61 people(70%), mild hearing loss in 52 people(60%), aural fullness in hyperacusis in 13 people(15%), auditory allergy in 9 people(10%) and otalgia in 5 people(6%); the audiology characteristic was that 61.5%(32/52) of patients with hearing loss showed mild high-frequency neurological hearing loss, 34.6%(18/52) of patients showed mild low-frequency neurological hearing loss, and 3.8%(2/52) of patients showed full-frequency mild neurological hearing loss; the effective rate of tinnitus treatment was 57.4%, the effective rate of hearing loss was 71.2%, and the effective rate of aural fullness was 69.2%, the effective rate of hyperacusis is 66.7% and the effective rate of otalgia is 60.0%. The clinical characteristics of cochlear migraine are summarized, which provides a basis for the intervention of anti-migraine treatment programs for inner ear diseases.

摘要

本研究旨在分析耳蜗性偏头痛的临床特征。收集耳蜗性偏头痛病例的临床资料,分析其临床症状及听力检查结果。耳蜗性偏头痛患者男女比例为1∶3.1;发病高峰年龄在30至60岁之间;临床症状方面,耳鸣61例(70%),轻度听力损失52例(60%),耳闷13例(15%),听觉过敏9例(10%),耳痛5例(6%);听力学特征为,听力损失患者中61.5%(32/52)表现为轻度高频神经性听力损失,34.6%(18/52)表现为轻度低频神经性听力损失,3.8%(2/52)表现为全频轻度神经性听力损失;耳鸣治疗有效率为57.4%;听力损失治疗有效率为71.2%;耳闷治疗有效率为69.2%;听觉过敏治疗有效率为66.7%;耳痛治疗有效率为60.0%。总结耳蜗性偏头痛的临床特征,为内耳疾病抗偏头痛治疗方案的干预提供依据。

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本文引用的文献

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[Inner ear migraine: vestibular migraine and cochlear migraine].[内耳偏头痛:前庭性偏头痛和耳蜗性偏头痛]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Mar;33(3):200-203. doi: 10.13201/j.issn.1001-1781.2019.03.003.
3
[Progress in research of vestibular migraine].[前庭性偏头痛的研究进展]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Aug 5;32(15):1143-1147. doi: 10.13201/j.issn.1001-1781.2018.15.005.
4
5
Proposal for a New Diagnosis for Cochlear Migraine.关于耳蜗性偏头痛新诊断方法的提议。
JAMA Otolaryngol Head Neck Surg. 2018 Mar 1;144(3):185-186. doi: 10.1001/jamaoto.2017.2427.
6
Migraine-Related Aural Fullness: A Potential Clinical Entity.偏头痛相关性耳闷:一种潜在的临床实体。
Otolaryngol Head Neck Surg. 2018 Jan;158(1):100-102. doi: 10.1177/0194599817739255. Epub 2017 Dec 5.

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