良性阵发性位置性眩晕患者手法复位成功后复发的影响因素分析

Analysis of Influencing Factors of Recurrence After Successful Manual Reduction in Patients With Benign Paroxysmal Positional Vertigo

目的分析导致良性阵发性位置性眩晕(BPPV)患者手法复位成功后复发的影响因素。方法选取在我院治疗的BPPV患者56例,手法复位治疗成功后随访3个月,统计复位成功后1、2、3个月的复发情况,并分析复发的相关因素。结果56例BPPV患者均配合完成随访工作,结果显示治疗1个月后的复发率为12.5%,2个月后为21.4%,3个月后高达28.6%。多元Logistic回归分析显示年龄≥60岁、原发性高血压史、复位次数≥10次以及BPPV病程是BPPV患者手法复位成功后复发的独立危险因素。结论导致BPPV患者手法复位成功后复发的因素很多,加强对BPPV患者的健康教育,如血压控制、尽量避免转颈、抬头等可能诱发眩晕的动作以及重视家庭训练等有利于降低该疾病的复发率。

Objective Analysis of factors leading to recurrence after successful manual reduction in patients with benign paroxysmal positional vertigo （BPPV）.Methods Selected 56 cases of BPPV treated in our hospital, and the patients were followed up for 3 months after manipulative reduction,then to analyze the recurrence after successful reduction and related factors.Results All 56 patients with BPPV participated in the follow-up work,the results showed that the recurrence rate was 12.5% after 1 month, 21.4% after 2 months and up to 28.6%at the end of 3 months.Multivariate Logistic regression analysis showed that age I〉60 years, history of essential hypertension, I〉 10 times of reduction and BPPV duration were independent risk factors of relapse after success- ful reduction of BPPV.Conclusion There are many factors that cause BPPV patients to relapse after manual reduction.To strength- en the health education of BPPV patients, such as blood pressure control,try to avoid the movement of vertigo caused by rotation neck and head rise, and attach importance to family training, will be beneficial toreduce the recurrence rate of BPPV.