基于良性阵发性位置性眩晕患者临床症状特点的快速筛查问卷研究

毕竞韬; 刘博; 张祎; 段金萍; 周嵌

doi:10.13201/j.issn.1001-1781.2019.03.006

基于良性阵发性位置性眩晕患者临床症状特点的快速筛查问卷研究

- 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科研究中心北京市耳鼻咽喉科研究所耳鼻咽喉科学重点实验室(教育部)(北京, 100005)
基金项目:
北京市科委健康培育项目 (No:Z151100003915100)

详细信息

通讯作者: 刘博,E-mail:trliubo@139.com

中图分类号: R764.3

收稿日期: 2018-11-05

Rapid screening questionnaire based on clinical symptoms of patients with benign paroxysmal positional vertigo

- Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery[Ministry of Education], Beijing, 100005, China

More Information

Corresponding author: LIU Bo, E-mail: trliubo@139.com

Received Date: 05 November 2018

摘要

摘要: 目的:探讨基于良性阵发性位置性眩晕(BPPV)主观症状的基本特征并据此设计快速筛查问卷的可行性。方法:纳入以头晕为主诉的患者276例,除去参与问卷修订的48例患者和诊断意见不一致的9例患者,纳入问卷信度和效度评价的有效问卷219例。依据BPPV诊断标准,分为BPPV组和非BPPV组。①所有患者均填写以位置性头晕症状为基准的调查问卷,并比较组间差异。②问卷的信度评价采用重测信度和克朗巴赫α系数;内容效度采用专家判断法,结构效度采用因子分析。结果:①信度及效度检验:问卷重测信度为0.945;内部一致性分析克朗巴赫α系数0.649;结构效度KMO值为0.720;特征根>0.9的因子2个,累积贡献率为61.2%。②问卷题目分析:头晕多为起床/躺下/翻身时发生者BPPV组78例(94.0%),非BPPV组57例(41.9%),两组间差异有统计学意义(P<0.01);头晕时有天旋地转感者BPPV组82例(98.8%),非BPPV组96例(70.6%),两组间差异有统计学意义(P<0.01);头晕/眩晕持续小于1min者BPPV组65例(78.3%),非BP-PV组53例(39.0%),两组间差异有统计学意义(P<0.01);头晕发作期听力下降或耳鸣者BPPV组8例(9.6%),非BPPV组31例(22.8%),两组间差异有统计学意义(P<0.05);头晕发作时意识清楚者BPPV组79例(95.2%),非BPPV组128例(94.1%),两组之间比较差异无统计学意义(P>0.05)。结论:该问卷具有临床实用性,可用于头晕患者中BPPV的快速筛查。
- 眩晕 /
- 头晕 /
- 问卷调查
Abstract: Objective:To fomulate a rapid screening questionnaire for benign paroxysmal positional vertigo (BPPV) according to the symptoms of patients with BPPV.Method:A total of 276 patients with dizziness participated in this study, and 219 cases were included in the questionnaire validity evaluation except for 48 patients who participated in the revision of the questionnaire and 9 patients with inconsistent diagnosis.Subjects were divided into BPPV group and non-BPPV group according to the diagnostic criteria.①All patients completed questionnaires based on positional dizziness, and the differences between the two groups were compared.②Reliability test adopted test-retest reliability and Cronbach'sαcoefficient;content validity adopted expert judgment method, and structural validity adopted factor analysis.Result:①Reliability test:test-retest reliability was 0.945, Cronbach'sαcoefficient was 0.649.Validity test:KMO value was 0.720.Two factors were used with a characteristic root of higher than 0.9.The total cumulative contribution rate was 61.2%.②Results of the questionnaire:The patients who developed dizziness when getting up/down or turning over in bed, accounted for 78 (94.0%) in the BPPV group and 57 (41.9%) in the non-BPPV group, with a statistical difference (P<0.01).In the cases of vertigo, there were 82 cases (98.8%) in the BPPV group and 96 cases (70.6%) in the non-BPPV group, with a statistical difference (P<0.01).There were 65 cases (78.3%) in the BPPV group and 53 cases (39.0%) in the non-BPPV group with dizziness/vertigo attack time less than 1 minute, with a statistical difference (P<0.01).Patients who had hearing loss or tinnitus during the dizziness episode accounted for 8 (9.6%) in the BPPV group and 31 (22.8%) in the non-BPPV group, with a statistically difference (P<0.05).The patients with consciousness during dizziness episode were in 79 patients (95.2%) in the BPPV group and 128 patients (94.1%) in the non-BPPV group, with no statistical difference (P>0.05).Conclusion:This questionnaire has clinical applicability and can be used for rapid differential screening of BPPV in patients with dizziness.
- vertigo /
- dizziness /
- questionnaires

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