摘要
目的分析老年患者良性阵发性位置性眩晕与脑血管病的相关性。方法本研究纳入2019年1月至2020年12月我院神经内科收治的老年良性阵发性位置性眩晕患者78例,设为观察组,选取同期于我院体检的非良性阵发性位置性眩晕患者78例设为对照组,比较两组临床各项检查结果,明确老年良性阵发性位置性眩晕的主要诱因与危险因素,分析其与脑血管病的关联。结果观察组MRI检查中脑白质疏松、陈旧性腔隙性梗死及大血管狭窄发生率与MRA中前循环狭窄结果均明显高于对照组(P<0.05);观察组2型糖尿病、高脂血症、颈动脉斑块发生率与TG、TC及UA水平均明显高于对照组(P<0.05)。结论老年良性阵发性位置性眩晕与脑血管病变及相关因素密切关联,积极评估脑血管功能,尤其是颈动脉斑块,可为临床控制病情、改善预后提供参考依据。
Objective To analyze the correlation between benign paroxysmal positional vertigo and cerebrovascular disease in elderly patients.Methods 78 elderly patients with benign paroxysmal positional vertigo admitted to the Department of Neurology from January 2019 to December 2020 were enrolled and set as the observation group.78 patients with non-benign paroxysmal positional vertigo who were undergoing physical examination in our hospital during the same period were selected.Set as a control group,compare the clinical examination results of the two groups,clarify the main inducements and risk factors of elderly benign paroxysmal positional vertigo,and analyze its association with cerebrovascular disease.Results The incidence of leukoaraiosis,old lacunar infarction and large vessel stenosis in the observation group and the results of MRA anterior circulation stenosis in MRI examination were significantly higher than those in the control group(P<0.05);observation group type 2 diabetes,hyperlipidemia The incidence of disease,carotid plaque and the levels of TG,TC and UA were significantly higher than those in the control group(P<0.05).Conclusion Senile benign paroxysmal positional vertigo is closely related to cerebrovascular diseases and related factors.Actively assess cerebrovascular function,especially carotid plaque,to provide a reference for clinical control of the disease and improvement of prognosis.
作者
王红
刘海辉
WANG Hong;LIU Haihui(Department of Neurology, Shenyang First People's Hospital, Shenyang 110041;The second stationed outpatient department of the General Hospital of the Northern Theater Command, Shenyang 110015, China)
出处
《中国老年保健医学》
2021年第6期47-49,53,共4页
Chinese Journal of Geriatric Care
关键词
老年人
良性阵发性位置性眩晕
脑血管病
相关性
因素
the elderly
benign paroxysmal positional vertigo
cerebrovascular disease
correlation
factors
