STANDING检查在急性孤立性眩晕患者中的应用

刘潺潺<sup>1</sup>; 张智艳<sup>2</sup>; 常丽英<sup>2</sup>; 李婷<sup>3</sup>

文章摘要

刘潺潺，张智艳，常丽英，李婷.STANDING检查在急性孤立性眩晕患者中的应用[J].神经损伤功能重建,2018,13(3):125-126

STANDING检查在急性孤立性眩晕患者中的应用

Application of STANDING in Patients with Acute Isolated Vertigo

DOI：

中文关键词: 急性孤立性眩晕头部水平脉冲检查眼球震颤

英文关键词: acute isolated vertigo head impulse test nystagmus

基金项目:

作者	单位
刘潺潺¹ ，张智艳² ，常丽英² ，李婷³	1. 深圳光明新区人民医院神经内科 2. 湖北文理学院附属襄阳市中心医院神经内科 3. 深圳光明新区人民医院心内科

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中文摘要:

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。

英文摘要:

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.

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