文献类型：期刊文献

中文题名：良性阵发性位置性眩晕复发的影响因素分析

英文题名：Analysis of influencing factors for recurrence of benign paroxysmal positional vertigo

作者：严意意[1];刘翔毅[2];徐百成[1];张顺利[2];杨建新[3]

第一作者：严意意

机构：[1]兰州大学第二医院耳鼻咽喉头颈外科,730030;[2]甘肃中医药大学附属医院耳鼻咽喉头颈外科,兰州730000;[3]甘肃中医药大学第一临床医学院临床医学系,兰州730000

第一机构：兰州大学第二医院耳鼻咽喉头颈外科,730030

年份：2026

卷号：48

期号：3

起止页码：196

中文期刊名：北京医学

外文期刊名：Beijing Medical Journal

基金：兰州市科技发展指导性计划(2024-9-72)。

语种：中文

中文关键词：良性阵发性位置性眩晕;去枕仰卧;突发性聋;糖尿病;高脂血症

外文关键词：benign paroxysmal positional vertigo(BPPV);supine position without a pillow;sudden sensorineural hearing loss(SSNHL);diabetes mellitus;hyperlipidemia

摘要：目的探讨良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)复发的影响因素。方法选取2024年1月至2025年3月甘肃中医药大学附属医院确诊并治愈的首次发病的BPPV患者274例。所有患者在至少维持1周无症状后,接受为期1个月的随访。依据随访期内BPPV是否复发将患者分为复发组(n=137)和未复发组(n=137)。收集患者一般资料和临床资料,采用多因素logistic回归方程分析BPPV复发的影响因素。结果274例患者中男62例、女212例,年龄22~85岁,平均(56.0±13.3)岁;去枕仰卧167例(60.9%)、中耳炎18例(6.6%)、耳鸣53例(19.3%)、突发性聋(sudden sensorineural hearing loss,SSNHL)44例(16.1%)。多因素回归分析结果显示,去枕仰卧(OR=4.993,95%CI:2.807~8.880,P=0.001)、SSNHL(OR=2.621,95%CI:1.127~6.093,P=0.025)、高脂血症(OR=2.842,95%CI:1.051~7.683,P=0.040)、糖尿病(OR=4.851,95%CI:1.332~17.663,P=0.017)的BPPV患者更容易复发。结论去枕仰卧、SSNHL、高脂血症、糖尿病是BPPV复发的危险因素,其中去枕仰卧为可控行为因素,而SSNHL、糖尿病和高脂血症则为临床可干预的病理状态。建议加强对患者的健康教育,纠正其不良睡姿;关注SSNHL病史,同时积极控制血脂和血糖水平,以降低BPPV的复发风险。
Objective To explore the influencing factors of recurrence of benign paroxysmal positional vertigo(BPPV).Methods A total of 274 patients with first-episode BPPV who were diagnosed and cured at the Affiliated Hospital of Gansu University of Chinese Medicine from January 2024 to March 2025 were enrolled.All patients were followed up for one month after remaining asymptomatic for at least one week.According to whether recurrence occurred during the follow-up period,the patients were divided into a recurrence group(n=137)and a non-recurrence group(n=137).Patients'general information and clinical data were collected,and multivariate logistic regression analysis was used to identify factors influencing BPPV recurrence.Results Among the 274 patients,there were 62 males and 212 females,aged from 22 to 85 years,with a mean age of(56.0±13.3)years.There were 167 cases(60.9%)of supine positioning without a pillow,18 cases(6.6%)of otitis media,53 cases(19.3%)of tinnitus,and 44 cases(16.1%)of sudden sensorineural hearing loss(SSNHL).Multivariate regression analysis showed that BPPV patients with supine positioning without a pillow(OR=4.993,95%CI:2.807-8.880,P=0.001),SSNHL(OR=2.621,95%CI:1.127-6.093,P=0.025),hyperlipidemia(OR=2.842,95%CI:1.051-7.683,P=0.040),and diabetes mellitus(OR=4.851,95%CI:1.332-17.663,P=0.017)were more prone to recurrence.Conclusions Supine position without a pillow,SSNHL,hyperlipidemia,and diabetes mellitus are risk factors for BPPV recurrence.Among them,supine position without a pillow is a modifiable behavioral factor,whereas SSNHL,diabetes mellitus,and hyperlipidemia are clinically intervenable pathological conditions.It is recommended to strengthen patient health education to correct poor sleeping postures,pay attention to the history of SSNHL,and actively manage blood lipid and glucose levels,so as to reduce the risk of BPPV recurrence.