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用于眩晕准确诊断的综合平衡功能测试:一项回顾性分析

Comprehensive Equilibrium Function Tests for an Accurate Diagnosis in Vertigo: A Retrospective Analysis.

作者信息

Futami Shumpei, Miwa Toru

机构信息

Department of Otolaryngology, Osaka Metropolitan University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan.

Department of Otolaryngology-Head and Neck Surgery, Graduate of School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.

出版信息

J Clin Med. 2024 Apr 23;13(9):2450. doi: 10.3390/jcm13092450.

Abstract

: An accurate diagnosis of vertigo is crucial in patient care. Traditional balance function tests often fail to offer independent, conclusive diagnoses. This study aimed to bridge the gap between traditional diagnostic approaches and the evolving landscape of automated diagnostic tools, laying the groundwork for advancements in vertigo care. : A cohort of 1400 individuals with dizziness underwent a battery of equilibrium function tests, and diagnoses were established based on the criteria by the Japanese Society for Vertigo and Equilibrium. A multivariate analysis identified the key diagnostic factors for various vestibudata nlar disorders, including Meniere's disease, vestibular neuritis, and benign paroxysmal positional vertigo. : This study underscored the complexity of diagnosing certain disorders such as benign paroxysmal positional vertigo, where clinical symptoms play a crucial role. Additionally, it highlighted the utility of specific physical balance function tests for differentiating central diseases. These findings bolster the reliability of established diagnostic tools, such as audiometry for Meniere's disease and spontaneous nystagmus for vestibular neuritis. : This study concluded that a multifaceted approach integrating multiple diagnostic indicators is crucial for accurate clinical decisions in vestibular disorders. Future studies should incorporate novel tests, quantitative assessments, and advanced technologies to enhance the diagnostic capabilities of vestibular medicine.

摘要

准确诊断眩晕对患者护理至关重要。传统的平衡功能测试往往无法提供独立、确凿的诊断。本研究旨在弥合传统诊断方法与不断发展的自动诊断工具之间的差距,为眩晕护理的进步奠定基础。

一组1400名头晕患者接受了一系列平衡功能测试,并根据日本眩晕与平衡学会的标准进行诊断。多变量分析确定了各种前庭疾病(包括梅尼埃病、前庭神经炎和良性阵发性位置性眩晕)的关键诊断因素。

本研究强调了诊断某些疾病(如良性阵发性位置性眩晕)的复杂性,其中临床症状起着关键作用。此外,它还突出了特定身体平衡功能测试对鉴别中枢性疾病的效用。这些发现增强了既定诊断工具的可靠性,如用于梅尼埃病的听力测定和用于前庭神经炎的自发性眼球震颤。

本研究得出结论,综合多种诊断指标的多方面方法对于前庭疾病的准确临床决策至关重要。未来的研究应纳入新颖的测试、定量评估和先进技术,以提高前庭医学的诊断能力。

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本文引用的文献

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Age-Associated Characteristics of Patients With Chronic Dizziness and Vertigo.年龄相关特征的慢性头晕和眩晕患者。
J Geriatr Psychiatry Neurol. 2022 Jul;35(4):580-585. doi: 10.1177/08919887211036185. Epub 2021 Aug 2.

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