空气流量改变对半规管功能评价的影响

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目的:通过控制冷热试验的空气流量,计算并对比改变单耳空气流量前后的半规管轻瘫(CP)指数、优势偏向(DP)指数的变化,探讨单耳空气流量改变对冷热试验结果的影响,指导临床的诊断分析。方法:应用自身配对设计,测算每个研究对象的以下指标:双耳空气流量均为6L/min时的CP值与DP值,记为均衡组;左耳空气流量仍为6L/min但右耳空气流量为3L/min时的CP值与DP值,记为下降组。分别对2次的CP值与DP值进行配对t检验分析。结果:下降组较均衡组的CP和DP显著降低,差异具有统计学意义。结论:当被测试者一侧耳到达鼓膜的空气流量下降或相对下降时,冷热试验可能出现假阳性或假阴性结果,诊断时需要综合分析。 Objective: By controlling the air flow rate of cold and hot test, the change of semi-regulatory paresis (CP) index and predominance of deviation (DP) index before and after the change of mononeuricle air flow were calculated and compared, Influence, guide clinical diagnostic analysis. Methods: The self-matching design was used to calculate the following indices for each study: CP and DP values ​​at 6L / min in both ears were recorded as an equalization group; air flow to the left ear was still 6L / min but right ear The air flow rate of 3L / min when the CP value and DP value, recorded as the descent group. Paired t-test analysis of CP value and DP value of 2 times respectively. Results: CP and DP of the descending group were significantly lower than those of the descending group, the difference was statistically significant. CONCLUSIONS: False positive or false negative results may occur in the hot and cold test when the air flow to one side of the tympanic membrane from one ear to the subject is decreased or relatively decreased, and a comprehensive analysis is required for the diagnosis.
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