126例良性阵发性位置性眩晕患者的临床特征及其首次发病的危险因素分析  

Analysis of the Clinical Characteristics of 126 Patients with Benign Paroxysmal Positional Vertigo and the Risk Factors for Their First Onset

作　　者：熊瑶 XIONG Yao(Department of Neurology,The First Hospital of Changsha,Changsha 410005,China)

机构地区：[1]长沙市第一医院神经内科,湖南长沙410005

出　　处：《反射疗法与康复医学》2025年第2期109-112,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨126例良性阵发性位置性眩晕(BPPV)患者临床特征及其首次发病的危险因素。方法回顾性分析2023年1—12月长沙市第一医院收治的126例BPPV患者的临床资料,并设为BPPV组,另选择同期收治的近1年无眩晕症状的其他患者为研究对象,设为非BPPV组。收集两组患者的一般资料,并进行单因素分析与多因素Logistic回归分析以明确影响BPPV患者首次发病的危险因素。结果126例BPPV患者中男31.75%(40/126),女68.25%(86/126);发病侧别:左侧41.27%(52/126),右侧57.94%(73/126),双侧0.79%(1/126);累及半规管:后半规管70.63%(89/126),水平半规管27.78%(35/126),后半规管+水平半规管1.59%(2/126)。单因素分析结果显示,两组年龄、性别、合并高血脂、合并骨质疏松、合并吸烟史、合并饮酒史、合并化脓性中耳炎、合并前庭神经元炎、合并梅尼埃病、合并突发性耳聋比较,组间差异无统计学意义(P>0.05);两组合并高血压、合并糖尿病、合并脑卒中比较,组间差异有统计学意义(P<0.05)。采用Logistic回归分析结果显示,合并高血压(OR=2.161,95%CI=1.222~3.823)、合并糖尿病(OR=2.902,95%CI=1.130~7.454)、合并脑卒中(OR=6.810,95%CI=0.855~54.264)是影响BPPV患者首次发病的高危险因素(P<0.05且OR>1)。结论BPPV患者首次发病受其合并高血压、合并糖尿病、合并脑卒中的影响较大,还需高度重视,做好相应的预防处理,以减少BPPV发生。Objective Explore the clinical characteristics of 126 patients with benign paroxysmal positional vertigo(BPPV)and the risk factors for their first onset.Methods A retrospective analysis was conducted on the clinical data of 126 patients with BPPV admitted to The First Hospital of Changsha from January to December 2023,and they were set as the BPPV group.In addition,other patients without vertigo symptoms in the past year who were admitted during the same period were selected as the research subjects and set as the non-BPPV group.The general data of the two groups of patients were collected,and univariate analysis and multivariate Logistic regression analysis were performed to clarify the risk factors affecting the first onset of BPPV patients.Results Among the 126 patients with BPPV,males accounted for 31.75%(40/126)and females accounted for 68.25%(86/126).Regarding the affected side,the left side accounted for 41.27%(52/126),the right side accounted for 57.94%(73/126),and both sides accounted for 0.79%(1/126).Regarding the affected semicircular canals,the posterior semicircular canal was involved in 70.63%(89/126)of the patients,the horizontal semicircular canal in 27.78%(35/126),and both the posterior semicircular canal and the horizontal semicircular canals in 1.59%(2/126).The results of the univariate analysis showed that there were no statistically significant differences between the two groups in terms of age,gender,comorbid hyperlipidemia,comorbid osteoporosis,comorbid history of smoking,comorbid history of alcohol consumption,comorbid suppurative otitis media,comorbid vestibular neuritis,comorbid Meniere’s disease,and comorbid sudden deafness(P>0.05);there were sigificant differences in comorbid hypertension,comorbid diabetes mellitus,and comorbid stroke between the two groups(P<0.05).The results of the Logistic regression analysis showed that comorbid hypertension(OR=2.161,95%CI=1.222~3.823),comorbid diabetes mellitus(OR=2.902,95%CI=1.130~7.454),and comorbid stroke(OR=6.810,95%CI=0.855~54.264)were high

关 键 词：良性阵发性位置性眩晕 首次发病 临床特征 危险因素 

分 类 号：R741.02[医药卫生—神经病学与精神病学]