持续正压通气治疗头晕的临床疗效分析

王晶; 李晓燕; 吴飞凤; 中山明峰; 刘秀丽

doi:10.13201/j.issn.1001-1781.2016.08.006

持续正压通气治疗头晕的临床疗效分析

- 1. 大连医科大学附属第一医院临床眩晕诊治中心耳鼻咽喉科(辽宁大连, 116011);
- 2. 大连大学附属新华医院耳鼻咽喉科;
- 3. 日本名古屋市立大学病院睡眠中心

详细信息

通讯作者: 刘秀丽,E-mail:yicsun521@163.com

中图分类号: R764.3

收稿日期: 2016-01-04

The effect of CPAP therapy on dizziness

- 1. Department of Otolaryngology, Vertigo Clinic Treatment Center, the First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China;
- 2. Department of Otolaryngology, Xinhua Hospital of Dalian University;
- 3. Department of Otolaryngology, Sleep Disorder Center, Nagoya City University

More Information

Corresponding author: LIU Xiuli, E-mail: yicsun521@163.com

Received Date: 04 January 2016

摘要

摘要: 目的：探讨持续正压通气（CPAP）治疗头晕的临床疗效。方法：收集自述存在睡眠问题的头晕患者75例。根据PSG监测结果将患者分为OSAHS（AHI ≥ 15）组和非OSAHS（AHI<15）组；根据头晕程度将患者分为轻度头晕（0结果：①75例患者经CPAP治疗后头晕症状均有明显改善（P<0.01）；②CPAP可以改善OSAHS组的头晕症状与睡眠状况，但头晕症状改善与非OSAHS组间无显著性差异（P>0. 05）；③轻度、中度、重度头晕组经CPAP治疗后头晕症状的有效率亦无组间差异，睡眠状况的改善功效则随着头晕程度的加重而降低；④CPAP治疗3个月患者的头晕症状即获得明显改善（P<0.01）；⑤年轻老年组和老年组经CPAP治疗后头晕较治疗前明显改善，且差异有统计学意义（均P<0.01），仅年轻老年组自觉睡眠状况得到改善。结论：单纯使用CPAP治疗可以显著降低伴有睡眠不良的头晕患者的头晕症状。
- 头晕 /
- 睡眠障碍 /
- 持续正压通气 /
- 睡眠呼吸暂停低通气综合征,阻塞性
Abstract: Objective: To implore the effect of continuous positive airway pressure(CPAP) therapy on dizziness patients and its mechanism.Method: Seventy-five dizziness patients were enrolled.All patients accepted polysomnographic test,dizziness handicap inventory,Pitsburgh sleep quality index and Epworth sleepiness scale before and after CPAP therapy.Patients were divided into two groups according to a polysomnographic test:OSAHS group(AHI ≥ 15) and without OSAHS group(AHI<15); divided into three groups according to dizziness handicap inventory score:mild dizziness group(0Result: ①There was a significant difference in all dizziness patients before and after CPAP therapy according DHI(P<0.01). ②The effectiveness of CPAP therapy between OSAHS group and without OSAHS group has no difference(P>0.05),but CPAP therapy could ameliorate sleep disorder of the OSAHS group.③Different levels of dizziness had no impact on improving DHI during CPAP therapy.However,the effect on sleep improvment decreased when patients had heavier dizziness.④Treating by CPAP after three months could significantly improve patients dizziness(P<0.01).⑤The dizziness of the patients in younger old group and old group have significant improvment after CPAP therapy(P<0.01).However, only younger old group has better sleep.Conclusion: CPAP therapy could dramatically improve dizziness in patients with sleep disorders.
- dizziness /
- sleep disorders /
- continuous positive airway pressure /
- sleep apnea-hypopnea syndrome, obstructive

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