摘要
目的分析良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)患者复位治疗后残余症状(residual dizziness,RD)持续时间的影响因素及其向持续性姿势感知性头晕(persistent postural-perceptual dizziness,PPPD)转化的相关因素。方法选取2021年1月-2022年1月陕西省人民医院眩晕门诊确诊为BPPV且复位成功的患者575例,存在RD的患者有273例。根据RD持续时间将患者分为RD≤1周组116例、1周<RD<3月组104例和RD≥3月组53例。根据是否转化为PPPD将RD≥3月组患者分为PPPD阴性32例和PPPD阳性21例,分析BPPV复位后RD转化为PPPD的相关危险因素。结果BPPV的RD发生率47.5%,其中42.5%的患者RD在1周内消失,但仍有19.4%的患者RD持续超过3月并转化为PPPD;焦虑抑郁状态是BPPV转化为PPPD的独立危险因素(OR=8.148;P=0.011);血压异常是合并RD的BPPV转化为PPPD的相关因素(P<0.05)。结论焦虑抑郁状态是合并RD的BPPV向PPPD转化的独立危险因素,合并血压异常是BPPV转化为PPPD的相关危险因素。
Objective To analyze the factors influencing the duration of residual dizziness(RD)after successful repositioning in patients with benign paroxysmal positional vertigo(BPPV)and the factors affecting the conversion from BPPV to persistent postural-perceptual dizziness(PPPD).Methods A total of 575 patients with BPPV with successful repositioning at Shaanxi Provincial People's Hospital from January 2021 to 2022 were enrolled.Among them,273 patients had RD,which lasted≤1 week in 116 cases,1 week to 3 months in 104 cases,and≥3 months in 53 cases.Among the patients with RD≥3 months,PPPD was negative in 32 cases and positive in 21 cases.The risk factors for RD converting into PPPD were analyzed.Results The incidence of RD in BPPV was 47.5%.Of the patients with RD,42.5%had a complete recovery within a week,but still 19.4%continued to experience RD for more than three months,which turned into PPPD.Anxiety-depressive state was an independent risk factor for BPPV converting into PPPD(OR=8.148,P=0.011).Abnormal blood pressure was significantly association with the conversion of BPPV with RD into PPPD(P<0.05).Conclusion For the conversion of BPPV with RD into PPPD,anxietydepressive state was an independent risk factor,and abnormal blood pressure levels were an associated risk factor.
作者
田格
周蓉
王蜜霞
侯辰
李锐
陈丽
TIAN Ge;ZHOU Rong;WANG Mixia(Department of Geriatric Neurology,Shaanxi Provincial People's Hospital,Xi'an Medi-cal University,Xi'an 710068,China)
出处
《中风与神经疾病杂志》
CAS
2023年第9期819-824,共6页
Journal of Apoplexy and Nervous Diseases
基金
陕西省社发项目SWI+MRS在MRI阴性癫痫患者诊断价值研究(2021SF-095)。
关键词
良性阵发性位置性眩晕
残余症状
持续-姿势感知性头晕
焦虑抑郁状态
Benign paroxysmal positional vertigo
Residual dizziness
Persistent postural-perceptual dizziness
Anxiety-depressive state
