突发性聋并发良性阵发性位置性眩晕的临床分析  

Clinical Analysis of Sudden Deafness Complicated with Benign Paroxysmal Positional Vertigo

作　　者：谢杏强 易虹[1] 吴世安[1] 杨礼明[1] XIE Xing-qiang;YI Hong;WU Shi-an(Otolaryngology Head and Neck Surgery,Zhaoqing First People’s Hospital,Zhaoqing,Guangdong,526000,China)

机构地区：[1]肇庆市第一人民医院耳鼻咽喉头颈外科,广东肇庆526000

出　　处：《黑龙江医学》2020年第2期197-199,共3页Heilongjiang Medical Journal

摘　　要：目的探讨突发性聋合并良性阵发性位置性眩晕(BPPV)的特征、治疗及预后。方法选取2014年1月-2019年3月肇庆市第一人民医院收治的372例突发性聋患者为研究对象,其中65例伴BPPV,对突发性聋伴BPPV的特征、治疗及预后进行分析,且与同期接收的92例原发性BPPV进行对比。结果继发性与原发性BPPV在年龄、性别与发病部位上无显著差异(P>0.05);继发性BPPV主要累及后半规管,原发性BPPV主要累及水平半规管,对比差异显著(P<0.05),而多管累及上两组无显著差异(P>0.05);继发性BPPV与原发性BPPV在疾病治愈率与复发率上无显著差异(P>0.05)。结论突发性聋伴BPPV常累及后半规管,对此类患者采取手法复位的治愈率与复发率与原发性BPPV无显著差异。Objective To investigate the characteristics, treatment and prognosis of sudden deafness combined with benign paroxysmal positional vertigo(BPPV). Methods 372 patients with sudden deafness admitted to the hospital from January, 2014 to March, 2019 were selected as the study objects, and 65 of them with BPPV. The characteristics, treatment and prognosis of sudden deafness with BPPV were analyzed, and they were compared with 92 patients with primary BPPV admitted to the hospital at the same time. Results There was no significant difference between secondary BPPV and primary BPPV in age, gender and location(P>0.05). Secondary BPPV was mainly involved in posterior semicircular canal, while primary BPPV was mainly involved in horizontal semicircular canal, with significant difference(P<0.05), while multiple tubes were not significantly involved in the two groups(P>0.05). There was no significant difference in cure rate and recurrence rate between secondary BPPV and primary BPPV(P>0.05). Conclusion Sudden deafness with BPPV often involves posterior semicircular canal, and the cure rate and recurrence rate of manual reduction in such patients are not significantly different from that of primary BPPV.

关 键 词：突发性聋 良性阵发性位置性眩晕 特征 预后 

分 类 号：R764.43+.7[医药卫生—耳鼻咽喉科]