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良性阵发性位置性眩晕复发的影响因素分析

张祎 邹怡 刘博

中国卒中杂志Issue(5):351-355,5.
中国卒中杂志Issue(5):351-355,5.

良性阵发性位置性眩晕复发的影响因素分析

Analysis of the Factors Affecting Recurrence of Benign Paroxysmal Positional Vertigo

张祎 1邹怡 1刘博2

作者信息

  • 1. 100730 北京 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科中心,北京市耳鼻咽喉科研究所,耳鼻咽喉头颈科学教育部重点实验室 首都医科大学
  • 2. 首都儿科研究所附属儿童医院耳鼻喉科
  • 折叠

摘要

Abstract

Objective To investigate the factors affecting recurrence of benign paroxysmal positional vertigo(BPPV) patients. Methods Hundred BPPV patients who were diagnosed and treated in Beijing Tongren Hospital of Capital Medical University from September 2009 to October 2010 were enrolled in our study. All the patients were followed up by phone call. The data of the patients including age, gender, modality of treatment, the result of bithermal caloric test, and co-morbidities (cervical spondylosis, hypotension or hypertension, posterior circulation ischemia, hyperlipidemia, diabetes) were analyzed. The factors affecting recurrence rate of BPPV were studied by applyingχ2 test and the Logistic regression. Results The recurrence rate of BPPV in older patients(38.89%) is higher than that in adolescents(14.29%)(P=0.018). Abnormal blood pressure(P=0.032, 95% confidence interval[CI]=1.097~7.634, odds ratio[OR]=2.893) and non-reduction treatment for BPPV(P=0.014, 95%CI 1.261~7.940, OR 3.165) contributes significantly to recurrence; however there were no significant differences in cervical spondylosis, posterior circulation ischemia, hyperlipidemia, diabetes, and abnormal result of bithermal caloric test between both groups. Conclusion Older patients are prone to recur. The factors affecting recurrence of BPPV include abnormal blood pressure and the modality of treatment.

关键词

良性阵发性位置性眩晕/复发

Key words

Benign paroxysmal positional vertigo/Recurrence

引用本文复制引用

张祎,邹怡,刘博..良性阵发性位置性眩晕复发的影响因素分析[J].中国卒中杂志,2013,(5):351-355,5.

基金项目

十二五科技支撑计划(2012BAI12B02)首都医科大学附属北京同仁医院科研基金 ()

中国卒中杂志

OACSTPCD

1673-5765

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