眩晕床边检查快速识别恶性眩晕起病脑卒中的临床价值

Clinical Value of Vertigo Bedside Examination in Rapid Identification of Stroke with Onset of Malignant Vertigo

目的:探讨眩晕床边检查(VBE)快速识别恶性眩晕起病脑卒中的临床价值。方法:选择2020年5月-2021年7月我院收治的82例恶性眩晕患者,均行VBE检查(眼震检查、眼动检查、头动试验),以颅脑MRI检查结果为金标准,分析VBE对脑卒中的检出价值。结果:VBE的检查时间明显短于颅脑MRI检查(P<0.05)。颅脑MRI与VBE对恶性眩晕起病脑卒中的检出率分别为46.34%、43.90%,差异无统计学意义(P>0.05)。VBE与颅脑MRI检出恶性眩晕起病脑卒中的Kappa系数为0.714,一致性较高。VBE检出恶性眩晕起病脑卒中的准确度、敏感度、特异度、阳性预测值及阴性预测值分别为92.68%、94.44%、91.30%、89.47%、95.45%。结论:VBE能快速、有效识别恶性眩晕起病脑卒中,临床价值高。

Objective:To investigate the clinical value of vertigo bedside examination(VBE)in rapid identification of stroke with onset of malignant vertigo.Methods:A total of 82 patients with malignant vertigo who were selected in our hospital from May 2020 to July 2021.All patients were given VBE examination(nystagmus examination,eye movement examination and head movement test),and the results of craniocerebral MRI were used as the gold standard to analyze the value of VBE in detecting stroke.Results:The examination time of VBE was significantly shorter than that of craniocerebral MRI(P<0.05).The detection rates of craniocerebral MRI and VBE for stroke with onset of malignant vertigo were 46.34% and 43.90%,respectively,with no statistical significance(P>0.05).The Kappa coefficient between VBE and craniocerebral MRI in detecting stroke with onset of malignant vertigo was 0.714,showing a high consistency.The accuracy,sensitivity,specificity,positive predictive value and negative predictive value of VBE in detecting stroke with onset of malignant vertigo was 92.68%,94.44%,91.30%,89.47% and 95.45%,respectively.Conclusion:VBE could quickly and effectively identify stroke with onset of malignant vertigo,it had high clinical value.