陈请国，王兴龙，毛忠瑶，郑烨贤，刘静，彭利艳.良性阵发性位置性眩晕的复发影响因素分析[J].中华物理医学与康复杂志,2015,37(9):683-685
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| 良性阵发性位置性眩晕的复发影响因素分析 |
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| DOI： |
| 中文关键词: 良性阵发性位置性眩晕 复发 年龄 |
| 英文关键词: Vertigo Relapse Age |
| 基金项目:湖北省自然科学基金（2014CFB965） |
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| 摘要点击次数: 2548 |
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| 中文摘要: |
| 目的 探讨良性阵发性位置性眩晕（BPPV）复发的相关影响因素。 方法 搜集300例BPPV患者的相关资料，给予手法复位治疗后电话随访一年，将完成随访228例患者按照是否复发分为复发组60例和未复发组168例，并对2组患者的年龄、性别、发病部位、伴发基础疾病和生活相关因素情况进行比较，采用Logistic回归模型对BPPV复发的影响因素进行多因素分析。 结果 经单因素统计分析发现，过度劳累（P<0.01），年龄≥45岁（P<0.01）、经常出差（P<0.01）、长期使用电脑（P=0.003）、有睡眠障碍（P=0.002）、口服钙片（P=0.002）及伴发后循环缺血（P=0.025）和高脂血症（P=0.004）与BPPV复发相关；二元Logistic回归分析发现年龄≥45岁（OR=10.20,P<0.01）、过度劳累（OR=2.612，P=0.006）、经常出差（OR=5.257,P=0.006）、长期使用电脑（OR=3.870,P=0.003）、有睡眠障碍（OR=2.612,P=0.039）、伴发后循环缺血（OR=3.411，P=0.043）或伴发高脂血症（OR=2.299，P=0.047）是BPPV复发的危险因素，而年龄≥45岁对患者复发的影响最大。 结论 年龄是BPPV患者复发的最大危险因素；而后循环缺血、高脂血症、过度劳累、睡眠障碍、长期使用电脑以及经常出差也是BPPV复发的危险因素。 |
| 英文摘要: |
| Objective To investigate why benign, paroxysmal positional vertigo (BPPV) recurs. Methods Three hundred persons diagnosed with BPPV who had been treated at Tongji Hospital of Huazhong University of Science and Technology between April 2012 and April 2014 were given a telephone follow-up at least one year after their manual repositioning treatment. The respondents were divided into a healthy group and a recurrence group according to whether they said their vertigo had recurred. The age and gender distributions of the two groups were compared, along with their underlying diseases and living-related factors. Causes of the recurrence were then hypothesized. Results Single factor analysis and binary logistic regression analysis showed that overwork, an age over 45, travelling frequently, long use of computers, sleep disorders, oral intake of calcium tablets, posterior circulation ischemia and hyperlipidemia were all closely related to the BPPV recurrence. Age over 45 showed the strongest correlation. Conclusion Aging is the greatest risk factor for the recurrence of BPPV. Posterior circulation ischemia, hyperlipidemia, overwork, sleep disorders, long use of computers and being on business frequently are also predictors of relapse. |
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