继发性与特发性良性阵发性位置性眩晕临床特征及预后比较分析  

Comparative analysis of clinical features and prognosis of secondary and idiopathic benign paroxysmal positconal vertigo

作　　者：李玲[1] 李岚 秦晨晨 Li Ling;Li Lan;Qin Chenchen(Department of Otorhinolaryngology,Deyang People′s Hospital,Sichuan 618100,China;不详)

机构地区：[1]四川省德阳市人民医院耳鼻喉科,618100 [2]成都中医药大学附属医院血管外科

出　　处：《山西医药杂志》2025年第8期567-570,共4页Shanxi Medical Journal

摘　　要：目的比较继发性与特发性良性阵发性位置性眩晕(BPPV)患者的临床特征及预后。方法回顾性分析2021年1月至2023年9月我院收治的126例BPPV患者临床资料,根据发病原因将其分为继发性BPPV组和特发性BPPV组,收集所有患者临床资料,比较2组患者临床特点、治疗效果、生活质量及预后。结果继发性BPPV组高血压占比、中度眩晕占比、后半规管受累占比低于特发性BPPV组,持续性眩晕时间、重度眩晕、前半规管受累占比及水平半规管受累占比均高于特发性BPPV组(P均<0.05);首次复位治及治疗3个月后,特发性BPPV组总有效率均高于继发性BPPV组(P<0.05);治疗3个月后,2组眩晕障碍量表(DHI)评分均降低,特发性BPPV组低于继发性BPPV组(P<0.05);特发性BPPV组复发率低于继发性BPPV组(P<0.05)。结论继发性BPPV患者眩晕症状较为严重,患者多累及水平半规管或前半规管,特发性BPPV治疗成功率较高,复发率较低。Objective To compare the clinical characteristics and prognosis of patients with secondary and idiopathic benign paroxysmal positional vertigo(BPPV).Methods The clinical data of 126 patients with BPPV admitted to our hospital from January 2021 to September 2023 was retrospectively analyzed,and they were classified into the secondary BPPV group and the idiopathic BPPV group according to the cause of their onset.The clinical characteristics,treatment effect,quality of life and prognosis of the two groups were compared.Results The percentage of hypertension,the percentage of moderate vertigo,and the percentage of posterior hemicircular canal involvement were lower in the secondary BPPV group than in the idiopathic BPPV group,and the duration of persistent vertigo,severe vertigo,the percentage of anterior hemicircular canal involvement,and the percentage of horizontal hemicircular canal involvement were higher than those in the idiopathic BPPV group(all P<0.05).The total effective rate of the idiopathic BPPV group was higher than that of the secondary BPPV group in both the first reset treatment and after 3 months of treatment(P<0.05).After 3 months of treatment,the Dizziness Handicap Inventory(DHI)scores of both groups were reduced,and the idiopathic BPPV group was lower than that of the secondary BPPV group(P<0.05).The recurrence rate of the idiopathic BPPV group was lower than that of the secondary BPPV group(P<0.05).Conclusion Vertigo symptoms were more serious in patients with secondary BPPV,and the patients mostly involved the horizontal or anterior semicircular canal;the treatment success rate of idiopathic BPPV was higher and the recurrence rate was lower.

关 键 词：良性阵发性位置性眩晕 继发性 特发性 预后 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]