儿童复发性眩晕患者连续睡眠脉搏氧监测分析  

Analysis of continuous sleep pulse oxygen saturation monitoring in children with recurrent vertigo

作　　者：邵永良 刘南仙 张爱英[2] 赵宇亮 韩琳[4] 薛静 孙怡君 杨泽垠 SHAO Yongliang;LIU Nanxian;ZHANG Aiying;ZHAO Yuliang;HAN Lin;XUE Jing;SUN Yijun;YANG Zeyin(Department of Otorhinolaryngology Head and Neck Surgery,Shijiazhuang People’s Hospital,Shijiazhuang 050000,China;Department of Otorhinolaryngology,Chilren’s Hospital of Hebei Province,Shijiazhuang 050000,China;Department of Otorhinolaryngology,Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Department of Otorhinolaryngology,Shijiazhuang Traditional Chinese Medicine Hospital,Shijiazhuang 050000,China)

机构地区：[1]石家庄市人民医院耳鼻咽喉头颈外科,河北石家庄050000 [2]河北省儿童医院耳鼻咽喉科,河北石家庄050000 [3]河北医科大学第二医院耳鼻咽喉科,河北石家庄050000 [4]石家庄市中医院耳鼻咽喉科,河北石家庄050000

出　　处：《中国耳鼻咽喉颅底外科杂志》2023年第4期35-39,共5页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：河北省卫生健康委科研基金项目(20211142)。

摘　　要：目的对儿童复发性眩晕(RVC)患者进行连续睡眠脉搏氧监测,观察其睡眠血氧饱和度(SpO 2)情况,探讨连续睡眠脉搏氧监测在诊断RVC中的临床价值。方法根据RVC诊断标准,选取RVC患儿50例作为RVC组,非RVC 20例作为对照组。RVC组根据2周内眩晕是否反复发作分为眩晕发作组(29例)和眩晕不发作组(21例);根据眩晕问卷调查评分将RVC组按照严重程度分为轻、中、重3组。所有入组患儿均行连续睡眠脉搏氧监测,分析RVC患儿及对照组之间连续睡眠脉搏氧特征性差异。结果①RVC组中睡眠脉搏氧异常率为46.0%(23/50),正常对照组睡眠脉搏氧异常率为5.0%(1/20),两组差异具有统计学意义(P<0.05)。②眩晕发作组脉搏氧异常率65.5%(19/29),眩晕不发作组脉搏氧异常率19.0%(4/21),眩晕发作组脉搏氧异常率高于眩晕不发作组,两组差异具有统计学意义(P<0.05)。③眩晕发作组、眩晕不发作组及对照组的平均SpO 2和最低SpO 2差异均具有统计学意义(P<0.05)。④轻度组、中度组、重度组RVC与对照组的平均SpO 2和最低SpO 2差异均具有统计学意义(P<0.05)。结论连续睡眠脉搏氧与RVC、尤其是眩晕发作期的RVC具有一定的相关性,还与疾病严重程度有关。临床上,睡眠脉搏氧监测为无创,操作简单、易行,可作为诊断RVC的辅助检查之一,具有一定的临床意义。Objective To investigate the clinical value of continuous sleep pulse oxygen saturation(SpO 2)monitoring in the diagnosis of recurrent vertigo of children(RVC)via observation of their sleep SpO 2.Methods Fifty children with RVC and 20 without RVC were selected.The children of RVC group were subdivided into vertigo attack group(n=29)and non-vertigo attack group(n=21)according to whether vertigo occurred repeatedly within 2 weeks,and subdivided into mild,moderate and severe groups based on vertigo questionnaire results.All children underwent continuous sleep SpO 2 monitoring,and the characteristic differences of continuous sleep SpO 2 between the RVC group and the control group were analyzed.Results①The abnormal rates of sleep SpO 2 in the RVC group and the control group were 46.0%(23/50)and 5.0%(1/20),and the difference was statistically significant(P<0.05).②The abnormal rates of SpO 2 in the vertigo attack and non-attack groups were 65.5%(19/29)and 19.0%(4/21),and the difference was also statistically significant(P<0.05).③There were significant differences in the average SpO 2 and the lowest SpO 2 among the vertigo attack group,the vertigo non-attack group and the control group(P<0.05).④The differences were statistically significant in the average SpO 2 and lowest SpO 2 among the mild,moderate,severe RVC groups and the control group(P<0.05).Conclusion Continuous sleep SpO 2 has a certain correlation with RVC,especially during the attack of vertigo,and also has a relationship with the severity of the disease.Sleep SpO 2 monitoring is non-invasive,simple and easy to operate,and can be used as one of the auxiliary examinations for the diagnosis of RVC,which has certain clinical significance.

关 键 词：复发性眩晕 良性阵发性眩晕 儿童 睡眠脉搏氧 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]