摘要
目的:调查STANDING检查在急性孤立性眩晕患者中的特异性、敏感性和实用性。方法:收集急性孤立性眩晕患者,完成神经内科常规检查后,采用STANDING方法检查。入院后第2天完善MRI、DWI、眼震电图、冷热水试验,并随访2周,以明确诊断。结果:61例患者完成研究。STANDING检查的敏感性为97.0%,特异性为96.3%,准确性为95.1%,中枢性眩晕预测值为96.7%,周围性眩晕预测值为92.9%。平均检查时间为(10±2)min。结论:STANDING检查有助于提高眩晕的诊疗水平。
Objective:To investigate the specificity,sensitivity,and practicability of STANDING in patients with acute solitary vertigo.Methods:Acute isolated vertigo patients were recruited.After completion of routine neurological examination,the STANDING examination method was performed.Follow-up methods were applied on the second day after admission to improve the MRI,DWI,nystagmogram,and hot and cold water test;a 2-week follow-up was used to confirm the diagnosis.Results:61 patients completed the study.The STANDING method delivered a sensitivity of 97.0%,specificity of 96.3%,accuracy of 95.1%,central vertigo predictive value of 96.7%,and peripheral vertigo predictive value of 92.9%.The mean examination time was(10±2)minutes.Conclusion:STANDING examination can improve the diagnosis and treatment of vertigo.
作者
刘潺潺
张智艳
常丽英
李婷
LIU Chan-chan;ZHANG Zhi-yan;CHANG Li-ying;LI Ting(Department of Neurology,Shenzhen Guangming New District People’s Hospital,Guangdong 518000,China;Department of Neurology,Hubei University of Arts and Sciences Affiliated Xiang yang Central Hospital,Hubei 441021,China;Department of Cardiology,Shenzhen Guangming New District People’s Hospital,Guangdong 518000,China)
出处
《神经损伤与功能重建》
2018年第3期125-126,133,共3页
Neural Injury and Functional Reconstruction