CAJ | 학술논문

目的研究老年患者耳后半规管良性阵发性位置性眩晕的发病率,评价睡姿与受累耳偏侧优势的相关性. 方法回顾性研究114例单侧耳后半规管良性阵发性位置性眩晕老年患者的睡眠史,平均年龄(67.4±7.5)岁,入组患者均要求能确定优势侧睡姿.所有患者均详细询问病史并进行神经系统体格检查,包括姿势和步态、眼球运动、Dix- Hallpike试验、仰卧侧头位试验、纯音测听法和声导抗检查等. 结果右侧Dix- Hallpike试验阳性72例,左侧Dix-Hallpike试验阳性42例.睡眠时,61例偏爱右侧卧位,34例习惯左侧卧位,19例习惯仰卧位.在114例单侧Dix-Hallpike试验阳性患者中,患耳与睡姿在同侧的有78例,其中52例右侧,26例左侧;36例患耳与睡姿在不同侧,其中9例右侧卧位者左侧Dix-Hallpike试验阳性,8例左侧卧位者右侧Dix-Hallpike试验阳性,19例仰卧位患者中,12例右侧Dix-Hallpike试验阳性,7例左侧Dix-Hallpike试验阳性.患耳与同侧睡姿的相关性具有统计学意义(x2 =35.737,P＜0.01),Pearson列联系数为0.4885. 结论老年患者后半规管良性阵发性位置性眩晕以右侧居多,且患者偏爱右侧卧位,患耳与睡姿的偏侧性具有相关性,对于预防良性阵发性位置性眩晕可能有一定价值.
목적 연구노년환자이후반규관량성진발성위치성현훈적발병솔,평개수자여수루이편측우세적상관성. 방법 회고성연구114례단측이후반규관량성진발성위치성현훈노년환자적수면사,평균년령(67.4±7.5)세,입조환자균요구능학정우세측수자.소유환자균상세순문병사병진행신경계통체격검사,포괄자세화보태、안구운동、Dix- Hallpike시험、앙와측두위시험、순음측은법화성도항검사등. 결과 우측Dix- Hallpike시험양성72례,좌측Dix-Hallpike시험양성42례.수면시,61례편애우측와위,34례습관좌측와위,19례습관앙와위.재114례단측Dix-Hallpike시험양성환자중,환이여수자재동측적유78례,기중52례우측,26례좌측;36례환이여수자재불동측,기중9례우측와위자좌측Dix-Hallpike시험양성,8례좌측와위자우측Dix-Hallpike시험양성,19례앙와위환자중,12례우측Dix-Hallpike시험양성,7례좌측Dix-Hallpike시험양성.환이여동측수자적상관성구유통계학의의(x2 =35.737,P＜0.01),Pearson렬련계수위0.4885. 결론 노년환자후반규관량성진발성위치성현훈이우측거다,차환자편애우측와위,환이여수자적편측성구유상관성,대우예방량성진발성위치성현훈가능유일정개치.
Objective To investigate the frequency of posterior semicircular canal benign paroxysmal positional vertigo (PC-BPPV) in each ear,and to explore the effect of sleep position in lateral-predominance of ear by PC-BPPV during sleep onset in elderly patients. Methods Totally 114 patients aged (67.4±7.5) years with unilateral PC BPPV confirmed by a positive Dix Hallpike test,were retrospectively reviewed.All patients included in the study were able to define a leteral predominant,favorate head-lying side (right,left or supine position) during sleep onset. Results The Dix Hallpike test was found to be positive on the right side in 72 patients and positive on the left side in 42 cases.During sleep onset,61 patients habitually laid their head on the right side,34 laid their head on the left,and the remaining 19 cases on the supine position.Among 114 cases with positive Dix Hallpike test,there were 78 cases with the same side between affected ear and sleep position (52 cases right,26 cases left),36 cases with different side (9 cases with right position and left positive Dix Hallpike test,8 cases left position and right positive Dix Hallpike test,19 cases slept in a supine position including 12 cases with right positive Dix Hallpike test and 7 cases with left positive).The association between affected ear and head-lying side during sleep onset was statistically significant (x2 =35.737,P＜0.01) and Pearson coefficient of continency was 0.4885. Conclusions Among the elderly,right-sided PC-BPPV is popular,and these patients favorite right head-lying position during sleep.There is association between the affected side by PC-BPPV and the head-lying side during sleep.