良性阵发性位置性眩晕病人多次复发的影响因素分析

目的 探讨影响良性阵发性位置性眩晕(BPPV)病人多次复发的危险因素.方法 选取2016年1月至2018年1月于徐州医科大学附属医院诊断为BPPV并治疗好转的2022例病人作为研究对象.根据随访结果分为多次复发组与非多次复发组,比较两组BPPV病人的临床特点,分析影响BPPV病人多次复发的危险因素.结果 BPPV多次复发与非多次复发病人相比,女性(4.33％比1.01％)、高血压(57.14％比17.78％)、糖尿病等因(15.87％比6.67％)素差异有统计学意义(P<0.05),多因素回归分析发现,女性(P<0.001)、高血压(P<0.001)是影响BPPV复位成功后多次复发的危险因素.结论 女性、合并高血压的BPPV病人更容易出现多次复发.

Analysis of influencing factors of multiple recurrences in patients with benign paroxysmal positional vertigo

Objective To investigate the risk factors for multiple recurrences in patients with benign paroxysmal positional vertigo (BPPV).Methods A total of 2 022 patients who were diagnosed with BPPV in the Affiliated Hospital of Xuzhou Medical Universityfrom January 2016 to January 2018 were enrolled as the research objects. According to the follow-up results, the patients were assigned into multiple recurrences group and non-recurrence group. The clinical characteristics of BPPV patients were compared and the riskfactors for multiple recurrences of BPPV patients were analyzed.Results There were significant differences in women (4.33% vs. 1.01%),hypertension (57.14% vs. 17.78%), and diabetes (15.87% vs. 6.67%) between BPPV patients with multiple recurrences and those without non-recurrence (P<0.05). Multivariate regression analysis found that women (P<0.001) and hypertension (P< 0.001) were risk factors that affect multiple recurrences after successful BPPV restoration.Conclusion Women with BPPV with hypertension are more likely to have multiple recurrences.