摘要
目的分析良性阵发性位置性眩晕(benign paroxysmal positional vertigo, BPPV)发病的季节特点及影响因素。方法选取2016年1月至2017年12月首都医科大学附属北京天坛医院神经内科前庭功能检查室BPPV数据库登记的诊断为BPPV并进行手法或仪器复位且基础信息完整的患者830例,收集年龄、性别、发病时间及伴发的高血压、高血脂、糖尿病、冠心病、卒中、突发性聋、偏头痛等情况。采用月/年病例数比评价发病季节规律,分析心脑血管病危险因素与BPPV发病季节的相关性。结果本组患者中男272例,女558例;平均年龄为(54.1±12.6)岁。1~12月的月/年病例数比分别为9.3%、10.4%、11.0%、8.2%、7.5%、6.7%、7.2%、7.8%、6.7%、6.9%、8.0%和10.4%,其中12月至次年3月寒冷季节病例数占全年的41.0%。合并≥2个心脑血管病危险因素、1个危险因素和无危险因素的患者在寒冷季节发病占比分别为46.2%、43.3%和34.5%,其差异有统计学意义(P=0.013);随着危险因素的增多,寒冷季节发病比例增高(P趋势=0.0046)。结论 BPPV好发于寒冷季节,具有多个心脑血管病高危因素者在寒冷季节发病危险性增高。
Objective To investigate the onset season characteristics and the associated factors for benign paroxys- mal positional vertigo （BPPV）. Methods All subjects were registered in the BPPV database of the Department of Neurol- ogy of Beijing Tiantan Hospital. A total of 830 patients was included who were diagnosed with BPPV and underwent cana- lith repositioning maneuvers from January 2016 to December 2017. The data including age, gender, onset time, history of hypertension, hyperlipidemia, diabetes mellitus, coronary heart disease, stroke, sudden deafness or migraine were collect- ed. The month/year incidence ratios were used to evaluate the onset season characteristics of BPPV. Correlation between the risk factors for cardiovascular and cerebrovascular diseases and the onset seasons of BPPV was evaluated. Results Among patients there were 272 males and 558 females, with an average age of 54.1 years. From January to December, the month/year incidence ratios were respectively 9.3%, 10.4%, 11.0%, 8.2%, 7.5%, 6.7%, 7.2%, 7.8%, 6.7%, 6.9%, 8.0% and 10.4%. In cold season （including January, February, March and December） in Beijing, BPPV had a high incidence, ac- counting for 41.0% of all cases. In cold season the incidence of BPPV was 46.2% in patients with 2 and more risk factors for cardio cerebrovascular disease, 43.3% in patients with 1 risk factor and 34.5% in patients with no risk factor, with a sta- tistically significant difference among them （P = 0.013）. As the number of risk factors increased, the incidence of BPPV in cold season increased （P trend =0.0046）. Conclusion BPPV is most frequent in cold season. Patients with high risk fac- tors for cardiovascular and cerebrovascular diseases have increased risk for BPPV in cold season.
作者
王琰
陈梅梅
崔宇
朱翠亭
李一青
刘改芬
鞠奕
Wang Yan;Chen Meimei;Cui Yu;Zhu Cuiting;Li Yiqing;Liu Gaifen;Ju Yi(Department of Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China)
出处
《北京医学》
CAS
2018年第8期745-747,共3页
Beijing Medical Journal
关键词
良性阵发性位置性眩晕
季节
危险因素
benign paroxysmal positional vertigo （BPPV）
season
risk factor
