共患慢性病与良性阵发性位置性眩晕残余症状预后的分析  

Investigation of the relationship between chronic diseases and residual symptoms of benign paroxysmal positional vertigo

作　　者：周凤洁 付敏[1] 张楠[1] 徐晔[1] 葛莹[1] 

机构地区：[1]大连医科大学附属第二医院耳鼻咽喉科,辽宁大连116023

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第18期1627-1629,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：探讨良性阵发性位置性眩晕（BPPV）手法复位治疗（CRP）后残余症状预后的相关影响因素。方法：收集我科确诊为BPPV并行规范化CRP治疗后仍有残余症状的成人患者,记录其性别、年龄及共患慢性病史情况等,不定期随访残余症状预后情况,分组后对变量进行单因素分析和多因素分析。结果：符合本研究的149例患者中,残余症状可自愈者71例,不可自愈者78例;男30例,女119例;年龄23~88岁;青年组30例,中年组46例,年轻老年组47例,老年组26例;共患高血压病者76例,糖尿病者76例,高脂血症者47例,心脏病者110例,缺血性脑病者43例。结论：高龄女性及共患高血压病、糖尿病、心脏病和缺血性脑病者,残余症状不易自愈;其中,高龄及共患高血压病、糖尿病为影响残余症状预后的危险因素。Objective：To investigate the prognosis-related influence factors of the residual symptoms after the canalith repositioning procedure （CRP） for the benign paroxysmal positional vertigo（BPPV） in the second affilia- ted hospital of dalian medical univers＇ity. Method： Among patients who were diagnosed with BPPV and treated by CRP,the one that still show residual symptoms were enrolled in our study, then make a follow-up irregularly a- bout the tendency of their residual symptomsr self-healing,and respectively record in their gender, age and chronic diseases and so on. Single-factor analysis and multl-factors analysis was utilized to investigate the residual symp- toms＇ related influencing factors. Result： In this study, 149 cases of patients were in record, for the residual symp- toms, 71 patients can go to self-healing, 78 patients can not; age is 23--88, 30 cases in the young group, 46 cases in the middle aged group, 47 cases in the young elderly group, 26 cases in the elderly group ; patients suffering from high blood pressure are 76 cases, 76 cases had diabetes, 47 cases had hyperlipidemia, 110 cases had heart disease, 43 cases had ischemic encephalopathy. Conclusion： The residual symptoms in the elderly females patients and patients suffering from the hypertension, diabetes, heart disease patients and ischemic encephalopathy are not easy to heal by itself, in which, the older and the fact suffering from the hypertension and diabetes are the risk fac- tors influencing the prognosis of the residual symptoms.

关 键 词：良性阵发性位置性眩晕 手法复位治疗 残余症状 预后 影响因素 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]