Qian Cunhui, Shi Chen, Chen Yihong, Yu Yafeng
Department of Otolaryngology，the First Affiliated Hospital of Soochow University，Suzhou，215006，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Jul;38(7):589-592. doi: 10.13201/j.issn.2096-7993.2024.07.006.
To explore the correlation between the parameters of suppression head impulse paradigm（SHIMP） and changes in dizziness handicap inventory（DHI） scores. Additionally, to evaluate the degree of vertigo and prognosis of patients with acute vestibular neuritis through SHIMP parameters. Thirty-three patients with acute vestibular neuritis were enrolled for DHI evaluation, vHIT and SHIMP. A secondary DHI score were evaluated after after two weeks, once patients no longer exhibited spontaneous nystagmus. The decrease in the second DHI score was used as the efficacy index（EI）. All patients were divided into significantly effective group, effective group and ineffective group based on EI. Differences of the VOR gain values of SHIMP and the anti-compensatory saccade were compared among the three groups. There were 13 cases in the significant effective group, 11 cases in the effective group, and 9 cases in the ineffective group. ①The mean gain of the horizontal semicircular canal in the significant effective group, the effective group, and the ineffective group was（0.50±0.11）, （0.44±0.12）, and（0.34±0.08）, respectively. The difference between the significant effective group and the ineffective group was statistically significant（<0.01）. The gain of horizontal semicircular canal was positively correlated with EI（=0.538 5, <0.01） 。②The occurrence rate of the anti-compensatory saccade in the significant effective group, the effective group, and the ineffective group was（51.23±19.59）, （33.64±17.68）, and（13.78±11.81）, respectively. Pairwise comparisons between each group showed statistical significance（<0.05）. The occurrence rate of anti-compensatory saccade was positively correlated with EI（=0.658 2, <0.01）. The horizontal semicircular canal gain and the occurrence rate of the anti-compensatory saccade in SHIMP for patients with acute vestibular neuritis were closely correlated with decrease in DHI score.
探讨抑制性摇头试验（SHIMP）参数与头晕残障量表（DHI）评分变化之间的相关性。此外，通过SHIMP参数评估急性前庭神经炎患者的眩晕程度和预后。纳入33例急性前庭神经炎患者进行DHI评估、视频头脉冲试验（vHIT）和SHIMP检查。在患者不再出现自发性眼震两周后进行二次DHI评分评估。将第二次DHI评分的降低作为疗效指标（EI）。根据EI将所有患者分为显效组、有效组和无效组。比较三组之间SHIMP的视眼动增益值和抗代偿性扫视的差异。显效组13例，有效组11例，无效组9例。①显效组、有效组和无效组水平半规管的平均增益分别为（0.50±0.11）、（0.44±0.12）和（0.34±0.08）。显效组与无效组之间的差异具有统计学意义（<0.01）。水平半规管增益与EI呈正相关（=0.538 5，<0.01）。②显效组、有效组和无效组抗代偿性扫视的发生率分别为（51.23±19.59）、（33.64±17.68）和（13.78±11.81）。各组之间的两两比较均具有统计学意义（<0.05）。抗代偿性扫视的发生率与EI呈正相关（=0.658 2，<0.01）。急性前庭神经炎患者SHIMP中的水平半规管增益和抗代偿性扫视的发生率与DHI评分的降低密切相关。
