良性阵发性位置性眩晕病因学分析  

To analyze the etiology of benign paroxysmal positional vertigo

作　　者：张娜[1] 陈太生[2] 董红[2] 林鹏[2] 刘冉冉[1] 

机构地区：[1]天津医科大学一中心临床学院,天津300192 [2]天津市第一中心医院耳鼻咽喉头颈外科天津市耳鼻喉科研究所

出　　处：《临床耳鼻咽喉头颈外科杂志》2011年第7期307-311,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家科技部"十一五"国家科技支撑计划课题(No:2007BAI18B13)

摘　　要：目的:分析良性阵发性位置性眩晕(BPPV)的发病情况及可能的致病因素。方法:对124例BPPV患者进行详细的病史调查、分组及合并疾病分析,并于复位治疗前行冷热试验检查,比较具有合并疾病和无合并疾病的BPPV患者的半规管受累情况。结果:124例BPPV患者中,有合并疾病者97例(78.2%)、无合并疾病者27例(21.8%);其中92例(74.2%)存在半规管反应减退(UW)。比较有合并疾病和无合并疾病BPPV患者的正常和异常UW值、异常UW后半规管和外半规管累及情况、异常UW的单双侧别、异常UW与BPPV的侧别一致性,差异均无统计学意义(χ2值分别为0.000、0.000、0.306、0.027,P>0.05)。结论:BPPV患者多数存在合并疾病,多发生于女性和中老年人;椭圆囊耳石脱落与半规管功能异常可能具有病理上的同源性;冷热试验可以为BPPV致病因素的分析提供帮助。Objective：To analyze the occurrence and probable etiological factors of benign paroxysmal positional vertigo（BPPV）.Method：one hundred and twenty four BPPV cases were inquired histories,classified into different groups and analyzed relevant diseases.All patients were taken Caloric tests before Canal repositioning procedure,and compared the differences of unilateral weakness（UW） and semicircular canal involved between BPPV patients with and without relevant diseases.Result： There were 97（78.2%） patients with relevant diseases while 27（21.8%） without.Ninety-two（74.2%） patients with abnormal UW.To compare the normal and abnormal UW,posterior canal and lateral canal with abnormal UW values,unilateral or bilateral of abnormal UW values,consistency of abnormal UW side and BPPV side between BPPV patients with and without relevant diseases,there were no significant differences（Chi-square values were 0.000,0.000,0.306,0.027,P0.05）.Conclusion：BPPV patients with relevant diseases are common,which mainly occurs in middle-aged or aged people and female.Otolith ecclasis and dysfunction of semicircular canal may have the same etiological factors.Caloric tests may do help to analyze the BPPV etiological factors.

关 键 词：良性阵发性位置性眩晕 冷热试验 病因 

分 类 号：R764[医药卫生—耳鼻咽喉科]