首页|复发BPPV成人患者自身因素与季节因素相关性探索

复发BPPV成人患者自身因素与季节因素相关性探索

扫码查看
目的 分析复发良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)成人患者的自身因素与季节因素之间的关系,探讨反复发作BPPV的相关因素.方法 采用回顾性队列研究方法,纳入2015年2月~2022年1月北京市普仁医院收治的815例复发BPPV成人患者,分析其发病年龄、性别、季节性特点,同时探讨血管性危险因素、补充钙剂和维生素D的影响.结果 复发BPPV患者年龄22~88岁,中位年龄61(55,67)岁,男女性别比为1∶3.01,男女患者的年龄、各年龄组男女性别比、血管性危险因素患病率比较,差异无统计学意义(P>0.05),女性患者补充钙剂和维生素D的占比高于男性(P<0.001);复发BPPV发作无显著季节规律性,但呈现寒冷季节增多的趋势;血管性危险因素与年龄相关,与性别、季节无明显相关性;多次复发BPPV患者占20.86%(170/815),补充钙剂和维生素D是其独立影响因素.结论 复发BPPV女性高发,老年多见,寒冷季发作次数较多,补充钙剂和维生素D可能减少复发频率.
Correlation Between Self-factors and Seasonal Factors in Adult Patients with Recurrent BPPV
Objective To analyze the relationship between self-factors and seasonal factors in adult patients with recurrent benign paroxysmal positional vertigo(BPPV),and explore the related factors of recurrent BPPV.Methods A total of 815 adult patients with re-current BPPV admitted to Beijing Puren Hospital from February 2015 to January 2022 were included in a retrospective cohort study.The age,gender,and seasonality of onset were analyzed,and the effects of vascular risk factors,calcium and vitamin D supplementation were explored.Results Patients with recurrent BPPV ranged in age from 22 to 88 years,with a median age of 61(55,67)years,and the gender ratio of males to females was 1∶3.01.There were no significant differences in age,age composition and prevalence of vascular risk factors between males and females(P>0.05).The proportion of calcium and vitamin D supplementation in female patients was higher than that in male patients(P<0.001).The occurrence of recurrent BPPV had no significant seasonal regularity,but showed an increas-ing trend in cold season.Vascular risk factors were correlated with age,but not with gender or season.The patients with multiple recur-rence of BPPV accounted for 20.86%(170/815),calcium and vitamin D supplementation were independent influencing factors.Conclusion Recurrent BPPV occurs frequently in females,and is more common in old age,and is more frequent in cold season.Calci-um and vitamin D supplementation may reduce the recurrence frequency.

Benign paroxysmal positional vertigoGenderAgeSeasonsRisk factors

王媛、刘媛媛、曹春婷

展开 >

100062 北京市普仁医院耳鼻咽喉科

良性阵发性位置性眩晕 性别 年龄 季节 危险因素

2024

医学研究杂志
中国医学科学院

医学研究杂志

CSTPCD
影响因子:0.702
ISSN:1673-548X
年,卷(期):2024.53(8)