复发和非复发女性特发性良性阵发性位置性眩晕患者间骨密度的差异分析

Difference Analysis of Bone Mineral Density between Recurrent and Nonrecurrent Female Patients with Idiopathic Benign Paroxysmal Positional Vertigo

目的探讨复发和非复发女性特发性良性阵发性位置性眩晕患者间骨密度的差异。方法随机选取2021年1月—2022年5月莆田学院附属医院门诊诊治的女性特发性良性阵发性位置性眩晕患者100例作为研究对象,根据复发或非复发进行分组,其中50例复发患者为复发组,另50例非复发患者为非复发组。比较两组患者间的骨密度值,平均接受复位治疗达到标准次数,并以单次复位治疗及多次复位治疗分组,统计骨密度值差异。结果复发组患者的全髋关节与L1~5骨密度水平(-2.25±1.47)、(-2.16±1.39)g/cm^(2)低于非复发组(-1.35±1.52)、(-1.27±1.26)g/cm^(2),差异有统计学意义(t=3.010、3.354,P<0.05)。且复发组的复位治疗达标次数更高,单次复位骨密度指标高于多次复位,差异有统计学意义(P<0.05)。结论在女性特发性良性阵发性位置性眩晕患者中,复发患者的骨密度水平低于非复发的女性患者,且经多次复位治疗达到治愈标准患者的骨密度水平更低。

Objective To investigate the difference in bone mineral density between recurrent and nonrecurrent female patients with idiopathic benign paroxysmal positional vertigo.Methods 100 female patients with idiopathic benign paroxysmal positional vertigo who were diagnosed and treated in the outpatient department of Affiliated Hospital of Putian University from January 2021 to May 2022 were randomly selected as the research subjects,And grouped according to recurrence or non-relapse,50 cases of relapse patients belonged to the recurrence group,and the other 50 cases of non-relapse patients belonged to the non-relapse group.The bone mineral density values between the two groups were compared,and the average number of reduction treatments reached the standard.The patients were divided into groups with single reduction treatment and multiple reduction treatment,and the differences in bone mineral density were counted.Results The total hip joint and L1-5 bone mineral density levels(-2.25±1.47)g/cm^(2) and(-2.16±1.39)g/cm^(2) in the recurrence group were significantly lower than those in the non-relapse group(-1.35±1.52)g/cm^(2),(-1.27±1.26)g/cm^(2),and the difference was statistically significant(t=3.010,3.354,P<0.05).In addition,the relapse group achieved higher number of repositioning treatments,and the bone density index of a single reduction was higher than that of multiple reductions,and the difference was statistically significant(P<0.05).Conclusion Among female patients with idiopathic benign paroxysmal positional vertigo,bone mineral density levels in recurrent patients are relatively lower than those in non-recurrent female patients.And the bone mineral density level was lower in patients who reached the cure standard after multiple reduction treatments.