Objective This study aims to analyze the factors influencing the recurrence of benign paroxysmal positional vertigo(BPPV)following manual repositioning,revealing potential risk factors for BPPV recurrence,and providing a theoretical basis for reducing the recurrence rate.Methods A total of 170 patients diagnosed with and cured for BPPV at the Neurology Department of Affiliated Hospital of Yangzhou University between January 2020 and December 2021 were selected in this study.A 2-year follow-up was conducted,and the patients were divided into the recurrence group(n=70)and non-recurrence group(n=100)based on recurrence status.Patient data were collected and logistic regression analysis was performed to identify risk factors associated with BPPV recurrence.Results Among the 70 recurrent pa-tients,39 experienced a single recurrence,while 27 encountered two recurrences,and 4 had three or more recurrences.Logistic regression analysis showed that female(OR=11.623,95％CI:4.104-20.634,P＜0.001),anxiety(OR=4.200,95％CI:1.186-14.873,P=0.026),fatigue(OR=5.025,95％CI:1.771-14.255,P=0.002),sleep disor-der(OR=4.080,95％CI:1.152-14.447,P=0.002),trauma(OR=4.802,95％CI:1.692-13.622,P=0.023)and comorbid hypertension(OR=4.938,95％CI:1.740-14.009,P＜O.001)were risk factors for recurrence in BPPV patients,and diabetes,family history and smoking history were not significantly correlated with the presence or absence of recurrence.Conclusion Gender,anxiety,fatigue,sleep disorders,trauma,and hypertension were the influencing fac-tors contributing to the recurrence of BPPV.These findings offer more targeted insights for the management and preven-tion of BPPV recurrence.
维普
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