摘要
目的分析良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)可能的相关发病因素。方法对60例BPPV患者采用问卷调查加病历分析形式进行相关发病因素的调查,并统计分析其结果。结果男、女性别比例为23%和77%,发病平均年龄(43.54±13.22)岁,40岁以上中老年人占80%;继发性BPPV占45%(27/60),发病前有过度疲劳者占50%(30/60),心理压力及精神刺激因素者占32%(19/60),有上呼吸道感染史者占8.3%(5/60),有头部外伤史者占18%(11/60),合并内耳疾病者占37%(22/60),患有全身疾病者占40%(24/60),有家族史者占3.3%(2/60);结论 45%BPPV患者存在可能的发病相关诱发因素,女性较男性发病比例高,中老年人发病高于青年人,过度劳累、心理压力、合并内耳疾病及心、脑血管等全身性疾病是发病的明显相关因素。
OBJECTIVE To analyze related factors of benign paroxysmal positional vertigo.METHODS The related factors are investigated through statistical analysis of questionnaires and medical records from 60 BPPV cases.RESULTS The ratio of BPPV in men and women is respectively 23%and 17%.The average age is（43.54±13.22）years.Patients aged ≥40 years account for 80%.45%（27/60）of cases developed secondary to other diseases.50%（30/60） cases had fatigue history before attack.32%（19/60） cases were involved with psychological stress and mental stimulation.Cases that ever suffered from respiratory tract infection and head trauma were 8.3%（5/60）and 18%（11/60）respectively.Cases suffered from inner ear disease account for 37%（22/60）.Cases with systemic diseaseaccount for 40%（24/60）.3.3%（2/60）of cases had family history.CONCLUSION 45%of BPPV cases has possible risk factors including fatigue,stress, inner ear diseases and cardiovascular diseases and other systemic diseases,while BPPV is more common in women and elderly people.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2011年第3期129-131,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
关键词
眩晕
半规管
问卷调查
临床方案
Vertigo
Semi circular Canals
Questionnaires
Clinical Protocols
