310例良性阵发性位置性眩晕患者发病相关因素分析

刘韵; 王伟; 龚树生

doi:10.13201/j.issn.1001-1781.2016.09.020

310例良性阵发性位置性眩晕患者发病相关因素分析

- 首都医科大学附属北京友谊医院耳鼻咽喉科(北京, 100050)

详细信息

通讯作者: 刘韵,E-mail:13810734875@163.com

中图分类号: R764

收稿日期: 2015-12-23

Related factors of benign paroxysmal positional vertigo: investigation of 310 patients

- Department of Otolaryngology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China

More Information

Corresponding author: LIU Yun, E-mail: 13810734875@163.com

Received Date: 23 December 2015

摘要

摘要: 目的：探讨与良性阵发性位置性眩晕（BPPV）发病相关的因素。方法：对310例BPPV患者进行问卷调查，内容包括年龄、有无耳鸣、有无高血压、糖尿病、颈椎病。相关检查包括纯音测听、眼震电图、脑CT、颈椎X线片。对上述资料进行统计分析。结果：310例BPPV患者中，男95例（30.6%），女215例（69.4%）；年龄20~84岁，平均54.93岁，其中20~<30岁13例，30~<40岁27例，40~<50岁43例，50~<60岁125例，60~<70岁68例，70~<80岁28例，80~89岁6例。后半规管217例（70.0%），外半规管88例（28.4%），上半规管2例（0.6%），后半规管加外半规管3例；管结石297（95.8%）例，嵴帽结石13例（4.2%）。有高血压病史106例（34.2%），糖尿病36例（11.6%），颈椎病123例（39.7%），CT可见脑梗塞灶91例（29.4%），耳鸣115例（37.1%）。结论：BPPV的发病与性别年龄相关；50岁以上发病率明显增加；BPPV就诊人群高血压、脑部缺血性改变的出现高于总人群发病率。
- 良性阵发性位置性眩晕 /
- 高血压 /
- 糖尿病 /
- 颈椎病
Abstract: Objective: To explore risk factors in the onset of benign paroxysmal positional vertigo(BPPV) by questionnaires and laboratory tests.Method: Three hundred and ten cases of patients with BPPV were conducted. All patients' informations were collected, including age, smoking history, with or without high blood pressure, diabetes, cervical spondylosis, tinnitus, and vertigo. Laboratory tests including pure tone hearing level, electrical diagram of nystagmus,CT, TCD, cervical vertebra X-ray were performed, and data were analyzed.Result: All 310 patients were a total of 215 females (69.4%) and 95 males(30.6%), aged from 20 to 84 years, with a median age of 54. There were 217 cases(70.0%) of PC-BPPV,88 cases(28.4%) of HC-BPPV, and 2 cases(0.6%)of AC-BPPV. Among patients, 106 patients(34.2%) had high blood pressure, 36 patients(11.6%) had diabetes, 123 patients(39.7%) had cervical disease, 91 cases were found cerebral infarction in CT, 152 patients(49.0%) had tinnitus, and 59 patients(19.0%) had history of smoking.Conclusion: Incidence of BPPV is related with gender and ages. Incidences of high blood pressure and brain ischemic change in BPPV patients were higher than that in the general population.
- benign paroxysmal positional vertigo /
- high pressure /
- diabetes /
- cervical disease

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