良性阵发性位置性眩晕患者复发的影响因素分析  

Analysis of influencing factors of recurrence in patients with benign paroxysmal positional vertigo

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：《北京医学》2024年第8期636-639,共4页Beijing Medical Journal

摘　　要：目的探讨良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)患者共患病的情况及其复发的影响因素。方法回顾性选取2022年4月至2023年3月北京市普仁医院BPPV患者669例,根据有无复发分为复发组(110例)和未复发组(559例),分析其共患病情况以及BPPV复发的影响因素。结果669例BPPV患者中,男190例、女479例,年龄20~100岁,中位年龄64(57,70)岁。BPPV患者以女性(71.6%)、老年(67.7%)、有共患病(70.7%)者多见;患病率最高的前6种疾病为高血压病(37.8%)、高脂血症(33.8%)、精神心理疾病(31.1%)、糖尿病(15.7%)、心血管病(12.6%)和骨代谢异常(12.1%)。多因素logistic回归分析结果显示,骨代谢异常(OR=2.458,95%CI:1.448~4.171,P=0.001)的BPPV患者发生复发的风险越高。结论骨代谢异常是BPPV患者发生复发的危险因素,BPPV患者患有共患病的比例较高,建议多学科共同参与患者的临床管理。Objective To explore the comorbidities and influencing factors of recurrence in patients with benign paroxysmal positional vertigo(BPPV).Methods A total of 669 BPPV patients in Beijing Puren Hospital from April 2022 to March 2023 were selected retrospectively,and were divided into recurrence group(110 cases)and non-recurrence group(559 cases)according to the recurrence,and the comorbidity and influencing factors of BPPV recurrence were analyzed.Results Among 669 patients with BPPV,there were 190 males and 479 females,aged from 20 to 100 years,with a median age of 64(57,70)years.BPPV patients were more common in female(71.6%),elderly(67.7%)and with comorbidities(70.7%).The top six diseases with the highest prevalence were hypertension(37.8%),hyperlipidemia(33.8%),mental illness(31.1%),diabetes(15.7%),cardiovascular disease(12.6%)and abnormal bone metabolism(12.1%).Multivariate logistic regression analysis showed that BPPV patients with abnormal bone metabolism(OR=2.458,95%CI:1.448-4.171,P=0.001)had higher risk of recurrence.Conclusions Abnormal bone metabolism is a risk factor for recurrence of BPPV patients,and the proportion of patients with BPPV comorbidity is high.It is suggested that multiple disciplines should participate in the clinical management of patients.

关 键 词：良性阵发性位置性眩晕 共患病 危险因素 复发 

分 类 号：R764[医药卫生—耳鼻咽喉科]