良性阵发性位置性眩晕自愈患者特征分析

张美娇; 张秀丽; 钟丽珍; 王剑锋; 刘得龙; 张庆丰

doi:10.13201/j.issn.1001-1781.2018.18.015

良性阵发性位置性眩晕自愈患者特征分析

- 1. 大连医科大学附属大连市中心医院神经内科(辽宁大连, 116033);
- 2. 大连医科大学附属大连市中心医院耳鼻咽喉头颈外科

详细信息

通讯作者: 张秀丽,E-mail:2719821914@qq.com

中图分类号: R764.3

收稿日期: 2018-07-08

Characteristics analysis of patients with benign paroxysmal positional vertigo-spontaneously cured

- 1. Department of Neurology, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, 116033, China;
- 2. Department of Otolaryngology Head and Neck Surgery, Dalian Municipal Central Hospital Affiliated of Dalian Medical University

More Information

Corresponding author: ZHANG Xiuli, E-mail: 2719821914@qq.com

Received Date: 08 July 2018

摘要

摘要: 目的：探讨良性阵发性位置性眩晕（BPPV）自愈患者的临床特征。方法：回顾性分析耳鼻喉科眩晕门诊就诊的1 257例以位置性眩晕为主诉的患者，921例符合BPPV诊断标准（非自愈组），336例通过变位试验阴性诊断为BPPV自愈（自愈组），对2组患者的性别、年龄及病程进行统计学分析。结果：①336例（26.7%）BPPV自愈患者中，男111例，女225例，女性自愈率较男性低（25.9% vs 28.5%）。②BPPV自愈组和非自愈组男女比例分别为1：2和1：2.3，均以女性多见，在性别分布上无差异。③BPPV自愈组和非自愈组均以>50~70岁多见，在年龄分布上无差别。④BPPV自愈组和非自愈组首诊病程大多<2周，分别占75.3%和69.3%，但自愈组病程1~2周所占比例较非自愈组高（20.5% vs 15.1%），差异有统计学意义。结论：BPPV患者能否自愈与年龄、性别无明确关系，但女性可能存在自愈率偏低倾向。BPPV自愈患者自然病程大多2~4周，自然病程的差异可能与所累及的半规管种类有关。
- 良性阵发性位置性眩晕 /
- 自愈 /
- 自然病程
Abstract: Objective: To analyze the characteristics of patients with benign paroxysmal positional vertigo which were spontaneously cured. Method: A total of 1 257 patients with chief complaint of positional vertigo were included and analyzed retrospectively, in which 921 cases were diagnosed as BPPV with the diagnosis standard of Guiyang meeting, and the other 336 cases were negative in the positional test diagnosed as BPPV-spontaneously cured. The age,gender and history course of the two groups were analyzed respectively.Result: ①Among the 1 257 cases of BPPV, 336 (111 male and 225 female) were diagnosed as BPPV-spontaneously cured, with total self remission rate of 26.7%. And the female self remission rate is lower than men slightly(25.9% vs 28.5%).②The ratio of male to female was 1:2 in patients with BPPV-spontaneously cured and 1:2.3 in patients with BPPV. Patients of the two groups were mostly female, and there was no significant difference in gender distribution.③There was no significant difference in age distribution between patients of BPPV-spontaneously cured and BPPV, and patients of >50-70 years old were common in both groups.④The history course of patients in BPPV-spontaneously cured and BPPV both were mostly within 2 weeks at their first visit to hospital,each accounting for 75.3% and 69.3%.But the ratio of patients with BPPV-spontaneously cured for 1-2 weeks was higher than that of the BPPV (20.5% vs 15.1%), and the difference was statistically significant.Conclusion: Whether patients with BPPV can cure spontaneously is not related to age or gender, while women may have a tendency of lower self remission rate. The natural course of patients with BPPV-spontaneously cured is mostly within 2-4 weeks. The duration of natural course may be related to the type of semicircular canal involved.
- benign paroxysmal positional vertigo /
- spontaneously-cured /
- nature course

HTML全文

参考文献(13)

[1]	钱淑霞, 李雯, 庄建华, 等.良性阵发性位置性眩晕的误诊及其关联成本分析[J].中华医学杂志, 2017, 4(14):1057-1060.
[2]	ZUCCA G, VALLI S, VALLI P, et al.Why do benign paroxysmal positional vertigo episodes recover spontaneously[J]?J Vestib Res, 1998, 8:325-329.
[3]	张秀丽, 张美娇, 刘得龙, 等.耳鼻咽喉科眩晕门诊3137例患者常见病因分布及特征分析[J].临床耳鼻咽喉头颈外科杂志, 2018, 32(10):758-761.
[4]	刘韵, 王伟, 龚树生.310例良性阵发性位置性眩晕患者发病相关因素分析[J].临床耳鼻咽喉头颈外科杂志, 2016, 30(9):748-750.
[5]	VON BREVERN M, RADTKE A, LEZIUS F, et al.Epidemiology of benign paroxysmal positional vertigo:apopulation based study[J].J Neurol Neurosurg Psychiatry, 2007, 78:710-715.
[6]	韩琳, 静媛媛, 马鑫, 等.良性阵发性位置性眩晕自愈性探讨[J].中华耳科学杂志, 2014, 12(2):228-230.
[7]	SCHUKNECHT H F, RUBY R F.Cupulolithiasis Adv Otorhinolaryngol[J].Laryngoscope, 2013, 123:2834-2839.
[8]	STRUPP M, DIETERICH M, BRANDT T.The treatment and natural course of peripheral and central vertigo[J].Dtsch Arztebl Int, 2013, 110:505-515.
[9]	BRANDT T, HUPPERT D, HECHT KARCH C, et al.Benign paroxysmal positioning vertigo:a long-term follow-up (6-17years) of 125patients[J].Acta Otolaryngol, 2006, 126:160-163.
[10]	IMAI T, ITO M, TAKEDA N, et al.Natural course of the remission of vertigo in patients with benign paroxysmal positional vertigo[J].Neurology, 2005, 64:920-921.
[11]	SHIM D B, KO K M, LEE J H, et al.Natural history of horizontal canal benign paroxysmal positional vertigo is truly short[J].J Neurol, 2015, 262:74-80.
[12]	SEKINE K, IMAI T, SATO G, et al.Natural history of benign paroxysmal positional vertigo and efficacy of Epley and Lempertmaneuvers[J].Otolaryngol Head Neck Surg, 2006, 135:529-533.
[13]	IMAI T, TAKEDA N, ITO M, et al.Natural course of positional vertigo in patients with apogeotropic variant of horizontal canalbenign paroxysmal positional vertigo[J].Auris Nasus Larynx, 2011, 38:2-5.