复发BPPV成人患者自身因素与季节因素相关性探索  

Correlation Between Self-factors and Seasonal Factors in Adult Patients with Recurrent BPPV

作　　者：王媛[1] 刘媛媛[1] 曹春婷[1] WANG Yuan;LIU Yuanyuan;CAO Chunting(Department of Otolaryngology,Beijing Puren Hospital,Beijing 100062,China)

机构地区：[1]北京市普仁医院耳鼻咽喉科,100062

出　　处：《医学研究杂志》2024年第8期92-95,136,共5页Journal of Medical Research

基　　金：首都卫生发展科研专项(首发2020-2-7015)。

摘　　要：目的分析复发良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)成人患者的自身因素与季节因素之间的关系,探讨反复发作BPPV的相关因素。方法采用回顾性队列研究方法,纳入2015年2月~2022年1月北京市普仁医院收治的815例复发BPPV成人患者,分析其发病年龄、性别、季节性特点,同时探讨血管性危险因素、补充钙剂和维生素D的影响。结果复发BPPV患者年龄22~88岁,中位年龄61(55,67)岁,男女性别比为1∶3.01,男女患者的年龄、各年龄组男女性别比、血管性危险因素患病率比较,差异无统计学意义(P>0.05),女性患者补充钙剂和维生素D的占比高于男性(P<0.001);复发BPPV发作无显著季节规律性,但呈现寒冷季节增多的趋势;血管性危险因素与年龄相关,与性别、季节无明显相关性;多次复发BPPV患者占20.86%(170/815),补充钙剂和维生素D是其独立影响因素。结论复发BPPV女性高发,老年多见,寒冷季发作次数较多,补充钙剂和维生素D可能减少复发频率。Objective To analyze the relationship between self-factors and seasonal factors in adult patients with recurrent benign paroxysmal positional vertigo(BPPV),and explore the related factors of recurrent BPPV.Methods A total of 815 adult patients with recurrent BPPV admitted to Beijing Puren Hospital from February 2015 to January 2022 were included in a retrospective cohort study.The age,gender,and seasonality of onset were analyzed,and the effects of vascular risk factors,calcium and vitamin D supplementation were explored.Results Patients with recurrent BPPV ranged in age from 22 to 88 years,with a median age of 61(55,67)years,and the gender ratio of males to females was 1∶3.01.There were no significant differences in age,age composition and prevalence of vascular risk factors between males and females(P>0.05).The proportion of calcium and vitamin D supplementation in female patients was higher than that in male patients(P<0.001).The occurrence of recurrent BPPV had no significant seasonal regularity,but showed an increasing trend in cold season.Vascular risk factors were correlated with age,but not with gender or season.The patients with multiple recurrence of BPPV accounted for 20.86%(170/815),calcium and vitamin D supplementation were independent influencing factors.Conclusion Recurrent BPPV occurs frequently in females,and is more common in old age,and is more frequent in cold season.Calcium and vitamin D supplementation may reduce the recurrence frequency.

关 键 词：良性阵发性位置性眩晕 性别 年龄 季节 危险因素 

分 类 号：R764[医药卫生—耳鼻咽喉科]