良性阵发性位置性眩晕患者复发因素分析

Analysis of recurrence factors in patients with benign paroxysmal positional vertigo

目的探讨良性阵发性位置性眩晕患者复发因素,为改善患者预后提供参考。方法选取2021年5月—2022年4月天津市红桥医院收治的良性阵发性位置性眩晕患者150例进行研究,患者经手法复位治疗后得以痊愈。对其进行1年的电话随访,根据随访结果将患者分为复发组48例和未复发组102例。采集患者一般资料、生活习惯、既往病史及症状对其良性阵发性位置性眩晕复发的危险因素进行全面分析,并进行多因素logtisic回归分析。结果两组睡眠情况、精神状况、高血压、糖尿病、头部外伤及前庭性偏头痛比较,差异均有统计学意义(P<0.05)。两组性别、年龄、病程、吸烟、饮酒、梅尼埃病及中耳炎比较,差异均无统计学意义(P>0.05)。多因素logtisic回归模型显示,精神状况较差、睡眠较差、有高血压病史、有糖尿病史、有头部外伤史及有前庭性偏头痛史是影响良性阵发性位置性眩晕复发的主要危险因素。结论良性阵发性位置性眩晕复发受多种因素影响,因此要提高警惕,及时采取有效的干预措施,以降低疾病复发风险。

Objective To explore the factors of recurrence in patients with benign paroxysmal positional vertigo,and to provide reference for improving patient prognosis.Methods A total of 150 patients with benign paroxysmal positional vertigo admitted to Tianjin Hongqiao Hospital from May 2021 to April 2022 were selected for study.The patients were cured after manual reduction treatment.A one-year telephone follow-up was conducted,and patients were divided into recurrence group of 48 cases and non recurrence group of 102 cases based on the follow-up results.The general information,lifestyle habits,past medical history and symptoms of patients were collected to conduct the analysis of the risk factors for recurrence of benign paroxysmal positional vertigo,and the multiple facfor logistic regression analysis was conducted.Results There were significant differences between the two groups in sleep condition,mental status,hypertension,diabetes mellitus,head injury and vestibular migraine(P<0.05).There were no statistically significant differences between the two groups in terms of gender,age,disease duration,smoking,alcohol consumption,Meniere's disease and otitis media(P>0.05).Multivariate logistic regression model showed that poor mental status,poor sleep,hypertension disease history,diabetes mellitus history,head trauma history and vestibular migraine history were the main risk factors affecting the recurrence of benign paroxysmal positional vertigo.Conclusion The recurrence of benign paroxysmal positional vertigo was influenced by multiple factors,so it was necessary to be vigilant and take effective intervention measures in a timely manner to reduce the risk of disease recurrence.