儿童良性阵发性位置性眩晕的临床分析OA北大核心CSTPCD
Benign Paroxysmal Positional Vertigo in Children
目的 探讨儿童良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)的临床特征,并观察其复位效果.方法 将就诊于郑州大学第一附属医院耳科门诊2018年1月—2022年6月确诊为BPPV且年龄<18岁的17例患儿为儿童组,同期就诊确诊为BPPV行复位治疗的成年患者5275例为成人组,比较两组临床发病特点,分析其发病率、复位治疗效果等临床特征.结果 儿童患者BPPV发病率为3.4%低于成人患者发病率39.8%,差异有统计学意义(P<0.01).儿童组继发性BPPV比例为70.6%,高于成人组的32.6%,差异有统计学意义(P<0.01).儿童组BPPV治愈率为94.1%,成人组的治愈率为92.0%,两组治愈率比较,差异无统计学意义(χ2= 0.102,P=0.750).结论 儿童BPPV发病率虽低于成年人,但并不少见,且复位治疗效果与成人无差异,一旦确诊建议尽可能行复位治疗.儿童BPPV以继发性多见,对于主诉不清或者已诊断为其他眩晕疾病的患儿,可加强变位试验的应用,谨防漏诊,延误患儿康复.
Objective To report clinical features and management of BPPV in children.Methods Children(<18 years,n=17)diagnosed with BPPV from January 2018 to June 2022 in the Otology Clinic,First Affiliated Hospital of Zhengzhou University were compared to 5275 adult patients during the same period,including clinical characteristics,incidence,rate of symptom resolution,etc.Results The incidence of BPPV was 3.4%in children and 39.8%in adults(P<0.01).The rate of secondary BPPV was 70.6%in children,compared to 32.6%in adults(P<0.01).The rate of complete resolution was 94.1%in children,and 92.0%in adults(χ2=0.102,P=0.750).Conclusions BPPV is a relatively common cause of dizziness in children,although at a lower incidence than in adults.BPPV in children can be successfully treated with repositioning maneuvers.Secondary BPPV is more common in children.Positioning tests should be considered in children with ambiguous complaints or diagnosed with other vertigo diseases to minimized missed diagnosis and unnec-essarily delayed recovery.
李玲;户红艳;王乐;赵堃;李红敏;朱晓丹;叶放蕾
郑州大学第一附属医院耳科(郑州 450000)
良性阵发性位置性眩晕儿童眩晕
benign paroxysmal positional vertigo(BPPV)childrenvertigo
《中华耳科学杂志》 2024 (001)
19-22 / 4
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