爆炸伤导致的前庭失调:其他症状

S.K. Byelyavsky, B.M. Borysov, V. I. Lutsenko, K. Trinus, L.M. Shipilo, M. Trishchynska
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引用次数: 0

摘要

此前,我们曾发现反恐行动(ATO)参与者有明显的前庭障碍、客观和主观眩晕、运动障碍等主诉。我们对 110 名患者进行了检查,其中包括 65 名有轻微脑外伤(mTBI)的反恐行动参与者和 44 名没有轻微脑外伤的非反恐行动参与者。根据眩晕症(头晕)国际临床协议,使用了 "头晕类型 "问卷。在 27 名(43.08%)ATO 患者和 7 名(15.91%)非 ATO 患者中发现了视运动性眼球震颤(OKN)的主诉,F 检验 = = 0.04,T 检验 = 0.0026。因此,OKN主诉是爆炸伤综合征患者的一个特殊特征。在 38 名(58.46%)ATO 患者和 11 名(25.00%)非 ATO 患者中发现了恶心的主诉,F 检验 = 0.38,T 检验 = 0.00035,这表明这种主诉在 ATO 患者中存在,并且在数量上更为明显,但它并不是 mTBI 患者的特异性主诉。19例(29.23%)ATO患者和11例(13.64%)非ATO患者出现呕吐症状,F检验=0.055,T检验=0.046,表明这一症状在mTBI患者中并不典型。在 35 名(53.85%)ATO 患者和 15 名(34.09%)非 ATO 患者中发现了无缘无故的焦虑主诉,F 检验 = 0.75,T 检验 = 0.041。因此,在 ATO 患者中存在这种主诉,而且数量上更为显著。41 名(63.08%)ATO 患者和 16 名(36.36%)非 ATO 患者有停电主诉,F 检验 = 0.98,T 检验 = 0.006,这表明 ATO 患者有这种主诉,而且在数量上更明显,但它对 mTBI 患者没有特异性。根据所使用的统计指标,抑郁和麻木的主诉没有可靠的差异。两者之间存在一定的相关性。OKN:与偏头痛中的视网膜畸形、动眼神经麻痹、下降恐惧症和夜视恐惧症有关。恶心:与头晕的严重程度、呕吐发作、昏厥、偏头痛、心率加快、动眼神经麻痹、夜恐症和幽闭恐惧症有关。呕吐:伴有上升恐惧症、偏头痛、心率加快。无缘无故的焦虑:伴有行动协调能力受损、抑郁、停电、听觉减退、天气敏感、登高恐惧症。无缘无故的抑郁:伴有主观眩晕、惧高症、停电、麻木、搏动性头痛、天气敏感、电磁过敏、心率加快。停电:伴有体重增加、客观眩晕、正压性头痛和搏动性头痛。麻木:与头晕及其严重程度、惧高症、恐高症、偏头痛和心率加快有关。从前庭功能障碍的角度讨论相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vestibular disorders in blast injuries: additional symptoms
Previously, we showed that Anti-Terrorist Operation (ATO) participants had significant complaints of vestibular disturbances, objective and subjective vertigo, kinetosis. One hundred and ten patients were examined, including 65 participants of ATO with mild traumatic brain injury (mTBI), 44 non-ATO without mTBI. The questionnaire “Types of dizziness” was used according to the International Clinical Protocol for Vertigo Disorders (Dizziness). Complaints of optokinetic nystagmus (OKN) were found in 27 (43.08 %) ATO and 7 (15.91 %) non-ATO patients, F-test = = 0.04, T-test = 0.0026. Thus, complaints of OKN turned out to be a specific feature of patients with blast injury syndrome. Complaints of nausea were detected in 38 (58.46 %) ATO and 11 (25.00 %) non-ATO patients, F-test = 0.38, T-test = 0.00035, indicating that this complaint is present and quantitatively more pronounced in ATO patients, but it is not specific for patients with mTBI. Complaints of vomiting were found in 19 (29.23 %) ATO and 11 (13.64 %) non-ATO patients, F-test = 0.055, T-test = 0.046, showing that this complaint is not typical for patients with mTBI. Complaints of anxiety without a reason were detected in 35 (53.85 %) ATO and 15 (34.09 %) non-ATO patients, F-test = 0.75, T-test = 0.041. Thus, this complaint is present and quantitatively more significant in ATO patients. Complaints of blackout were found in 41 (63.08 %) ATO and 16 (36.36 %) non-ATO patients, F-test = 0.98, T-test = 0.006, demonstrating that this complaint is present and quantitatively more pronounced in ATO patients, but it is not specific for patients with mTBI. Complaints of depression and numbness did not differ reliably according to the statistical indicators used. There were certain correlations. OKN: with scotomas in migraine headaches, kinetoses, descendophobia, and nyctophobia. Nausea: with severity of dizziness, vomiting episodes, blackouts, migraine headaches, increased heart rate, kinetoses, nyctophobia, claustrophobia. Vomiting: with ascendophobia, migraine headaches, increased heart rate. Anxiety without a reason: with impaired movement coordination, depression, blackouts, hyperacusis, weather sensitivity, ascendophobia. Depression without a reason: with subjective vertigo, agoraphobia, blackouts, numbness, throbbing headaches, weather sensitivity, electromagnetic hypersensitivity, increased heart rate. Blackouts: with weight gain, objective vertigo, orthostatic and throbbing headache. Numbness: with dizziness and its severity, agoraphobia, ascendophobia, migraine headaches and increased heart rate. Correlations are discussed from the point of view of vestibular dysfunction.
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