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为了解Meniere病患者的位听功能,对按:AAO-HNS标准诊断为Meniere病121例(166耳)患者的临床检查结果,进行追溯性研究。位听功能统计结果证明:①耳蜗与前庭受损程度有相关性。经趋势χ2检验为正相关(P<0.01),即听力损失越重半规管不对称比值越大;②听力损失与ECochG优势一种有关,听力损失越重,-SP/AP异常率越高,差异有显著性,③听力损失与甘油试验阳性率有关,轻度受损甘油试验阳性率低(22.2%);听力损失严重者甘油试验的阳性率增高(84.6%),差异有显著性,ECochG与甘油试验比较,前者更敏感;④各种听力图中上坡及峰型曲线甘油试验阳性率最高为69.0%,下坡及槽型曲线阳性率为33.3%、差异有显著性。诊断Meniere病客观依据不多,听力图、ECochG、前庭功能、甘油试验等联合检查是重要的诊断依据和选择治疗的准则。
To understand the location of Meniere’s hearing, retrospective studies were performed on the clinical findings of 121 patients (166 ears) with Meniere’s disease diagnosed according to the AAO-HNS criteria. Listening functional statistical results show that: ① cochlea and vestibular damage have a correlation. The trend χ2 test was positively correlated (P <0.01), that is, the greater the hearing loss was, the greater the semicircular canal asymmetry ratio was. (2) The hearing loss was related to ECochG predominance, the heavier hearing loss and the higher rate of -SP / AP abnormality (22.2%). In severe hearing loss, the positive rate of glycerol test increased (84.6%), the difference was significant. ECochG was significantly associated with the positive rate of glycerol test Glycerol test, the former is more sensitive; (4) up-peak and peak-type curve glycerin test in all kinds of auditions showed the highest positive rate was 69.0%, the positive rate of downhill and groove curve was 33.3%, the difference was significant. Meniere disease diagnosis less objective evidence, audiogram, ECochG, vestibular function, glycerol test and other joint examination is an important basis for diagnosis and selection criteria for treatment.