实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
2015年
9期
68-70
,共3页
眩晕%复发%影响因素分析
眩暈%複髮%影響因素分析
현훈%복발%영향인소분석
Vertigo%Recurrence%Root cause analysis
目的：分析良性阵发性位置性眩晕（ BPPV）复发的影响因素。方法选取苏州市市立医院2010—2014年收治的住院 BPPV 患者99例，按照随访结果分为复发组21例和非复发组78例。回顾性分析两组患者的性别、年龄（≤45岁或>45岁）、并发症（高血压、糖尿病、高脂血症、颈椎病）、发作类型（单纯型：累及1个半规管，复杂型：累及2个及以上半规管）、治疗方法（单纯药物治疗，药物治疗＋手法复位），分析 BPPV 复发的影响因素。结果两组患者性别、高脂血症发生率、颈椎病发生率比较，差异无统计学意义（P >0.05）；两组患者年龄、高血压发生率、糖尿病发生率、发作类型及治疗方法比较，差异有统计学意义（ P <0.05）。多因素 Logistic 回归分析结果显示，并发糖尿病〔OR =6.021，95% CI（1.817，19.953）〕、单纯药物治疗〔OR =6.295，95% CI（1.904，20.807）〕是 BPPV 复发的独立危险因素（P <0.05）。结论并发糖尿病、单纯药物治疗是 BPPV 复发的独立危险因素，临床工作人员应注意控制 BPPV 患者的血糖，无禁忌证者尽量联合手法复位，以减少 BPPV 的复发。
目的：分析良性陣髮性位置性眩暈（ BPPV）複髮的影響因素。方法選取囌州市市立醫院2010—2014年收治的住院 BPPV 患者99例，按照隨訪結果分為複髮組21例和非複髮組78例。迴顧性分析兩組患者的性彆、年齡（≤45歲或>45歲）、併髮癥（高血壓、糖尿病、高脂血癥、頸椎病）、髮作類型（單純型：纍及1箇半規管，複雜型：纍及2箇及以上半規管）、治療方法（單純藥物治療，藥物治療＋手法複位），分析 BPPV 複髮的影響因素。結果兩組患者性彆、高脂血癥髮生率、頸椎病髮生率比較，差異無統計學意義（P >0.05）；兩組患者年齡、高血壓髮生率、糖尿病髮生率、髮作類型及治療方法比較，差異有統計學意義（ P <0.05）。多因素 Logistic 迴歸分析結果顯示，併髮糖尿病〔OR =6.021，95% CI（1.817，19.953）〕、單純藥物治療〔OR =6.295，95% CI（1.904，20.807）〕是 BPPV 複髮的獨立危險因素（P <0.05）。結論併髮糖尿病、單純藥物治療是 BPPV 複髮的獨立危險因素，臨床工作人員應註意控製 BPPV 患者的血糖，無禁忌證者儘量聯閤手法複位，以減少 BPPV 的複髮。
목적：분석량성진발성위치성현훈（ BPPV）복발적영향인소。방법선취소주시시립의원2010—2014년수치적주원 BPPV 환자99례，안조수방결과분위복발조21례화비복발조78례。회고성분석량조환자적성별、년령（≤45세혹>45세）、병발증（고혈압、당뇨병、고지혈증、경추병）、발작류형（단순형：루급1개반규관，복잡형：루급2개급이상반규관）、치료방법（단순약물치료，약물치료＋수법복위），분석 BPPV 복발적영향인소。결과량조환자성별、고지혈증발생솔、경추병발생솔비교，차이무통계학의의（P >0.05）；량조환자년령、고혈압발생솔、당뇨병발생솔、발작류형급치료방법비교，차이유통계학의의（ P <0.05）。다인소 Logistic 회귀분석결과현시，병발당뇨병〔OR =6.021，95% CI（1.817，19.953）〕、단순약물치료〔OR =6.295，95% CI（1.904，20.807）〕시 BPPV 복발적독립위험인소（P <0.05）。결론병발당뇨병、단순약물치료시 BPPV 복발적독립위험인소，림상공작인원응주의공제 BPPV 환자적혈당，무금기증자진량연합수법복위，이감소 BPPV 적복발。
Objective To analyze the influencing factors of recurrence of benign paroxysmal positional vertigo (BPPV). Methods A total of 99 patients with BPPV were selected in Suzhou Municipal Hospital from 2010 to 2014,and they were divided into A group(with recurrence of BPPV,n = 21)and B group(without recurrence of BPPV,n = 78)according to the fellow - up outcome. Gender,age( below or equal 45 years old and over 45 years old),incidence of complications (including hypertension,diabetes,hyperlipidaemia and cervical spondylosis),vertigo types〔 simple type( with only one semicircular canal involved)and complex type(with two or more semicircular canal involved)〕,therapeutic methods(absolute medicine therapy and medicine therapy combined with manual reduction) were retrospectively collected,and the influencing factors of recurrence of BPPV were analyzed. Results No statistically significant differences of gender, incidence of hyperlipidaemia or cervical spondylosis was found between the two groups(P > 0. 05);while there were statistically significant differences of age,incidence of hypertension and diabetes,vertigo types and therapeutic methods between the two groups(P <0. 05). Multivariate Logistic regression analysis showed that,complicated with diabetes〔 OR = 6. 021,95% CI( 1. 817, 19. 953)〕and absolute medicine therapy〔 OR = 6. 295,95% CI( 1. 904,20. 807 )〕 were independent risk factors of recurrence of BPPV(P < 0. 05). Conclusion Complicated with diabetes and absolute medicine therapy are independent risk factors of recurrence of BPPV,clinical staffs should pay more attentions to control the blood glucose of patients with BPPV,and those patients without contraindications should receive manual reduction to reduce the recurrence of BPPV.
