青岛大学学报（医学版）2024，Vol.60Issue(4)：595-598,4.DOI:10.11712/jms.2096-5532.2024.60.130
良性阵发性位置性眩晕成功复位后残余症状的临床特征及风险因素
Clinical features of residual symptoms after successful repositioning maneuver of benign paroxysmal positional vertigo and related risk factors
摘要
Abstract
Objective To investigate the clinical features of residual symptoms after successful repositioning maneuver of be-nign paroxysmal positional vertigo(BPPV)and related risk factors.Methods A retrospective analysis was performed for the clinical data of 109 BPPV patients who received successful repositioning maneuver in Department of Neurology in our hospital from January to December 2022,and the patients were divided into two groups based on the presence of absence of residual symptoms.Clinical data were compared between the two groups,and the binary Logistic regression analysis was used to identify the risk fac-tors for the onset of residual symptoms after successful repositioning maneuver.Results Among the 109 patients with BPPV,43(39.45％)experienced residual symptoms after successful repositioning maneuver.The univariate analysis showed that lateral semicircular canal cupulolithiasis,duration of vertigo before treatment,and the number of repositioning maneuvers were potential risk factors(x2=10.917-17.206,P＜0.01),and the binary Logistic regression analysis showed that lateral semicircular canal cu-pulolithiasis,duration of vertigo before treatment,and the number of repositioning maneuvers were independent risk factors for re-sidual symptoms(OR=0.135-0.284,95％CI=(0.024-0.098)to(0.727-0.822),P＜0.05).Conclusion There is no sex difference in the onset of residual symptoms after successful repositioning maneuver of BPPV,and the patients with lateral semicir-cular canal cupulolithiasis,a long duration of vertigo before treatment,and multiple repositioning maneuvers are more likely to ex-perience residual symptoms.Once a patient is diagnosed with BPPV in clinical practice,he/she should be given timely repositioning maneuver,and the success rate of each repositioning maneuver should be increased to reduce the number of maneuvers.关键词
良性阵发性位置性眩晕/头晕/危险因素/残余症状Key words
benign paroxysmal positional vertigo/dizziness/risk factors/residual symptom分类
医药卫生引用本文复制引用
欧阳汤鹏,于辛,蔡金晓,赵磊,董冰,王慧敏..良性阵发性位置性眩晕成功复位后残余症状的临床特征及风险因素[J].青岛大学学报（医学版）,2024,60(4):595-598,4.基金项目
青岛市医药卫生科研计划项目(2021-WJZD230,2021-WJZD229) （2021-WJZD230,2021-WJZD229）
海军青岛特勤疗养中心院级课题(2020-TLKY09) （2020-TLKY09）
