良性阵发性位置性眩晕诱因分析

Analysis of inducement of benign paroxysmal positional vertigo

目的:分析可能影响良性阵发性位置性眩晕(BPPV)发病的相关因素。方法:选取2023年5-9月就诊于山西省人民医院耳鼻咽喉头颈外科的BPPV患者50例作为BPPV组,选取健康成年人50例作为对照组,采用问卷调查及病史询问的方式采集相关信息。比较2组人群在入睡时间、夜间睡眠时长、觉醒次数、有无基础性疾病(高血压、糖尿病及冠心病等)及受负面情绪影响等方面是否存在差异。结果:BPPV组男、女比例分别为16%和84%,对照组男、女比例分别为20%和80%;BPPV组年龄27~80岁,平均(54.66±13.39)岁,对照组年龄26~80岁,平均(54.42±12.55)岁。BPPV组入睡时间明显晚于对照组,差异有统计学意义(P<0.05);BPPV组夜间睡眠时长偏短,显著低于对照组,差异有统计学意义(P<0.05);BPPV组觉醒次数与对照组比较,差异无统计学意义(P>0.05);BPPV组伴有基础性疾病(54%)和受负面情绪影响(70%)者多于对照组,差异有统计学意义(P<0.05)。结论:入睡时间偏晚、夜间睡眠时长过短、伴有基础性疾病及存在负面情绪等均可影响BPPV发病。

Objective:To analyze the related factors that may affect the onset of benign paroxysmal positional vertigo(BPPV).Methods: Fifty BPPV patients treated in Department of Otolaryngology Head and Neck Surgery,Shanxi Provincial People's Hospital from May to September 2023 were selected as the case group,and 50 healthy adults were selected as the control group.Relevant information was collected by means of questionnaire survey and medical history inquiry.The two groups were compared in terms of sleep time,night sleep duration,wake times,underlying diseases(hypertension,diabetes,coronary heart disease,etc.)and negative emotional impact.Results: The proportion of male and female in the case group was 16%and 84%,and that in the control group was 20%and 80%.The mean age of the case group was(54.66±13.39)years old,and the mean age of the control group was(54.42±12.55)years old,ranging from 27 to 80 years old.The sleeping time of the case group was significantly later than that of the healthy group,and the difference was statistically significant(P<0.05).The night sleep duration of the case group was shorter than that of the healthy group,the difference was statistically significant(P<0.05).There was no significant difference in awakening times between the case group and the healthy group(P>0.05).There were more patients in the case group with underlying diseases(54%)and affected by negative emotions(70%)than in the healthy group,and the difference was statistically significant(P<0.05).Conclusion: Late sleep time,short sleep duration at night,accompanied by underlying diseases and negative emotions can affect the onset of BPPV.