前庭神经炎慢性化预测因素的研究进展

Research progress on predictors of chronic vestibular neuritis

前庭神经炎(VN)是单侧前庭神经急性损伤后出现的一种急性前庭综合征。近年来,VN的发病率和慢性化程度明显升高。相关研究显示,VN患者慢性症状的改善更多是中枢代偿的结果,而不是外周前庭功能的恢复。且恢复期病程长短可能与前庭知觉功能、心理因素和视觉依赖性等因素相关。本文提出早期识别并干预影响VN患者远期预后的相关因素的观点,旨在于识别VN患者“急性到慢性”头晕转变的预测因素,使易进入慢性期的高危VN患者得到及时有效的治疗。

Vestibular neuritis(VN)is an acute vestibular syndrome after unilateral acute vestibular nerve injury.In recent years,the incidence and chronic degree of VN have increased significantly.Related studies have shown that the improvement of chronic symptoms in patients with VN is more the result of central compensation than the recovery of peripheral vestibular function.And the course of recovery may be related to vestibular perceptual function,psychological factors and visual dependence.The purpose of this study is to identify the predictive factors of“acute to chronic”dizziness in VN patients,which will put forward to the viewpoint of early identification and intervention of the relevant factors affecting the long-term prognosis of VN patients.This paper aims to ensure timely and effective treatment for high-risk VN patients who are prone to chronic disease.