Abstract
Objective To investigate risk factors for short-term residual symptoms after resolution of benign parox-ysmal positional vertigo(BPPV)through logistic regression analysis.Methods A total of 110 patients with BPPV in our hospital from July 2020 to January 2023 were enrolled.The patients were grouped according to whether they were cured or had residual symptoms at 8 weeks after repositioning maneuvers.A logistic regression analysis was used to analyze the risk factors for short-term residual symptoms after treatment.Results Forty-nine of the 110 patients had short-term residual symptoms.The univariable logistic regression analyses showed that age,the duration of vertigo before treatment,recur-rence,medical history(hypertension,diabetes,and ischemic cerebrovascular disease),anxiety,depression,sleep qual-ity,and vestibular evoked myogenic potential were risk factors for short-term residual symptoms in patients with BPPV.The multivariable logistic regression analysis revealed that age(OR=0.942,95%CI 0.913-0.972,P<0.001),the dura-tion of vertigo before treatment(OR=0.333,95%CI 1.015～1.019,P=0.002),recurrence(OR=0.777,95%CI 0.726-0.832,P<0.001),a history of hypertension(OR=0.682,95%CI 0.624-0.745,P<0.001),a history of diabetes(OR=0.854,95%CI 0.791-0.922,P<0.001),a history of ischemic cerebrovascular disease(OR=0.876,95%CI 0.806-0.953,P=0.002),anxiety(OR=1.158,95%CI 1.046-1.283,P=0.005),depression(OR=1.178,95%CI 1.033-1.344,P=0.014),sleep quality(OR=1.164,95%CI 1.009-1.343,P=0.037),and vestibular evoked myogenic potential(OR=1.196,95%CI 1.068-1.340,P=0.002)were independent risk factors for short-term residual symptoms in patients with BPPV.Conclusion Patients with BPPV are more likely to have short-term residual symptoms if they have a history of hy-pertension,diabetes,or cerebrovascular diseases,advanced age,a long duration of vertigo before treatment,and the pres-ence of emotional disorders(anxiety,depression,sleep deficiency,vestibular evoked myogenic potential abnormalities).关键词
良性阵发性位置性眩晕/残余症状/影响因素/Logistics回归分析Key words
Benign paroxysmal positional vertigo/Residual symptom/Influencing factor/Logistic regression analysis分类
医药卫生
