基于Logistic回归分析的良性阵发性位置性眩晕复位后短期残余症状发生的研究  

A Logistic regression analysis of short-term residual symptoms after resolution of benign paroxysmal positional vertigo

作　　者：李凤 王涛[1] 齐子蛟 LI Feng;WANG Tao;QI Zijiao(Otolaryngology Department,Daxing District People’s Hospital,Beijing 102600,China)

机构地区：[1]北京市大兴区人民医院耳鼻喉科,北京102600

出　　处：《中风与神经疾病杂志》2025年第3期244-248,共5页Journal of Apoplexy and Nervous Diseases

摘　　要：目的Logistic回归分析探讨良性阵发性位置性眩晕(BPPV)复位后短期残余症状的危险因素。方法选择北京市大兴区人民医院2020年7月—2023年1月110例BPPV患者为研究对象,行手法复位治疗,随访8周,根据是否有短期残余症状分为治愈组和残余症状组。Logistics回归分析患者治疗后短期残余症状的危险因素。结果本研究中发生短期残余症状的患者共49例。单因素Logistics回归分析显示,年龄、治疗前眩晕时间、复发以及具有高血压病史、糖尿病史、缺血性脑血管病史、焦虑、抑郁、睡眠质量、前庭诱发肌源性电位均是BPPV患者短期残余症状的危险因素,且多因素Logistics回归分析显示,年龄(OR=0.942,95%CI 0.913~0.972,P<0.001)、治疗前眩晕时间(OR=0.333,95%CI 1.015~1.019,P=0.002)、复发(OR=0.777,95%CI 0.726~0.832,P<0.001)以及具有高血压病史(OR=0.682,95%CI 0.624~0.745,P<0.001)、糖尿病史(OR=0.854,95%CI 0.791~0.922,P<0.001)、缺血性脑血管病史(OR=0.876,95%CI 0.806~0.953,P=0.002)、焦虑(OR=1.158,95%CI 1.046~1.283,P=0.005)、抑郁(OR=1.178,95%CI 1.033~1.344,P=0.014)、睡眠质量(OR=1.164,95%CI 1.009~1.343,P=0.037)、前庭诱发肌源性电位(OR=1.196,95%CI 1.068~1.340,P=0.002)均是BPPV患者短期残余症状独立的危险因素。结论存在高血压、糖尿病或脑血管病史、高龄、治疗前眩晕时间长,合并情感障碍(焦虑、抑郁、睡眠不足、前庭诱发肌源性电位异常)的BPPV患者更易发生治疗后短期残余症状。Objective To investigate risk factors for short-term residual symptoms after resolution of benign paroxysmal positional vertigo(BPPV)through logistic regression analysis.Methods A total of 110 patients with BPPV in our hospital from July 2020 to January 2023 were enrolled.The patients were grouped according to whether they were cured or had residual symptoms at 8 weeks after repositioning maneuvers.A logistic regression analysis was used to analyze the risk factors for short-term residual symptoms after treatment.Results Forty-nine of the 110 patients had short-term residual symptoms.The univariable logistic regression analyses showed that age,the duration of vertigo before treatment,recurrence,medical history(hypertension,diabetes,and ischemic cerebrovascular disease),anxiety,depression,sleep quality,and vestibular evoked myogenic potential were risk factors for short-term residual symptoms in patients with BPPV.The multivariable logistic regression analysis revealed that age(OR=0.942,95%CI 0.913-0.972,P<0.001),the duration of vertigo before treatment(OR=0.333,95%CI 1.015~1.019,P=0.002),recurrence(OR=0.777,95%CI 0.726-0.832,P<0.001),a history of hypertension(OR=0.682,95%CI 0.624-0.745,P<0.001),a history of diabetes(OR=0.854,95%CI 0.791-0.922,P<0.001),a history of ischemic cerebrovascular disease(OR=0.876,95%CI 0.806-0.953,P=0.002),anxiety(OR=1.158,95%CI 1.046-1.283,P=0.005),depression(OR=1.178,95%CI 1.033-1.344,P=0.014),sleep quality(OR=1.164,95%CI 1.009-1.343,P=0.037),and vestibular evoked myogenic potential(OR=1.196,95%CI 1.068-1.340,P=0.002)were independent risk factors for short-term residual symptoms in patients with BPPV.Conclusion Patients with BPPV are more likely to have short-term residual symptoms if they have a history of hypertension,diabetes,or cerebrovascular diseases,advanced age,a long duration of vertigo before treatment,and the presence of emotional disorders(anxiety,depression,sleep deficiency,vestibular evoked myogenic potential abnormalities).

关 键 词：良性阵发性位置性眩晕 残余症状 影响因素 Logistics回归分析 

分 类 号：R441.2[医药卫生—诊断学]