女性良性阵发性位置性眩晕患者SVV/SVH结果分析  

Analysis of SVV/SVH in patients with women benign paroxysmal positional vertigo

作　　者：高铭媛 丁雷[1] GAO Mingyuan;DING Lei(Department of Otolaryngology,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing,100078,China)

机构地区：[1]北京中医药大学东方医院耳鼻咽喉科,北京100078

出　　处：《中国耳鼻咽喉头颈外科》2024年第4期232-235,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金：2024年度首都卫生发展科研专项项目(首发2024-2-4204);北京市自然科学基金(7232280)。

摘　　要：目的分析女性良性阵发性位置性眩晕(BPPV)患者主观视觉垂直线(subjective visual vertical,SVV)和主观视觉水平线(subjective visual horizontal,SVH)结果。方法回顾性纳入符合BPPV诊断标准的40~60岁女性患者310例为围绝经组,年龄<40岁的同期女性BPPV患者110例为青年组,年龄>60岁的同期女性BPPV患者332例为老年组,分析不同年龄组女性BPPV患者SVV/SVH特点。结果(1)女性BPPV患者SVV/SVH总异常率为42.29%;(2)围绝经组和青年组SVV/SVH异常率在不同罹患管型中无显著差异(P均>0.05);(3)老年组SVV/SVH异常率在不同罹患管型中分别为,水平半规管嵴帽BPPV 58.62%、水平半规管管石BPPV 48.65%、后半规管BPPV 36.68%,差异有统计学意义(P<0.05);(4)围绝经组、青年组、老年组BPPV患者SVV/SVH总异常率分别为41.94%、46.36%、41.27%,三组间无显著差异(P>0.05)。结论约40%女性BPPV患者伴有SVV/SVH异常,且随年龄增长在不同罹患管型中有所差异。OBJECTIVE To analyze the results of subjective visual vertical(SVV)and subjective visual horizontal(SVH)in female patients with benign paroxysmal positional vertigo(BPPV).METHODS Retrospectively,310 perimenopausal females(40-60 years old)who met the diagnostic criteria of BPPV,were included as the peri-menopausal group.110 female BPPV patients aged<40 years and 332 female BPPV patients aged>60 years were included as the youth and senior group.To analyze the SVV/SVH characteristics of female BPPV patients in different age groups.RESULTS 1.The total SVV/SVH abnormality rate in female BPPV patients was 42.29%;2.There was no difference in SVV/SVH abnormality rate between perimenopausal and youth group in the different affected BPPV types(all P>0.05);3.In senior group,the SVV/SVH abnormality rate showed horizontal semicircular canal cupulolithiasis BPPV(58.62%)>horizontal semicircular canal canalolithiasis BPPV(48.65%)>posterior semicircular canal BPPV(36.68%)in different affected BPPV types,with statistically significant differences(P<0.05);4.There was no difference in the total SVV/SVH abnormality rate among BPPV patients when compared among the three groups(41.94%,46.36%,41.27%,P>0.05).CONCLUSION The SVV/SVH abnormality rate in female BPPV patients is around 40%,and varies with age in different affected BPPV types.

关 键 词：妇女 良性发作性位置性眩晕病 主观视觉垂直线 主观视觉水平线 

分 类 号：R764[医药卫生—耳鼻咽喉科]