摘要
目的:分析良性阵发性位置性眩晕(BPPV)患者手法复位后短期疗效不佳的影响因素。方法:回顾性分析2021年1月至2023年3月濮阳市人民医院收治的120例BPPV患者的临床资料,患者均行手法复位治疗,3 d后复查,统计BPPV患者手法复位后短期疗效,将短期疗效不佳患者纳入发生组,其余纳入未发生组;采用多因素Logistic回归分析BPPV患者手法复位后短期疗效不佳的影响因素。结果:120例BPPV患者手法复位后短期疗效不佳34例,发生率28.33%(34/120);发生组年龄≥50岁、合并高血压、有头部外伤史、有颈椎病史、合并中重度失眠、合并中重度劳累、有偏头痛史占比均高于未发生组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,年龄≥50岁、合并高血压、有头部外伤史、有颈椎病史、合并中重度失眠、合并中重度劳累、有偏头痛史均为影响BPPV患者手法复位后短期疗效不佳的危险因素(OR>1,P<0.05)。结论:年龄≥50岁、合并高血压、有头部外伤史、有颈椎病史、合并中重度失眠、合并中重度劳累、有偏头痛史均为影响BPPV患者手法复位后短期疗效不佳的危险因素。
Objective:To analyze influencing factors of poor short-term efficacy in patients with benign paroxysmal positional vertigo(BPPV)after manual reduction.Methods:The clinical data of 120 patients with BPPV admitted to this hospital from January 2021 to March 2023 were retrospectively analyzed.All patients were treated with manual reduction.They were reviewed 3 days later.The poor short-term efficacy of these patients after manual reduction was statistically analyzed.The patients with poor short-term efficacy were included in occurrence group,and the remaining patients were included in non-occurrence group.Multivariate Logistic regression analysis were used to analyze the influencing factors of short-term poor efficacy in the patients with BPPV after manual reduction.Results:There were 34 cases of short-term poor efficacy in the 120 patients with BPPV after manual reduction with an incidence of 28.33%(34/120).The proportions of age≥50 years old,combined hypertension,history of head trauma,history of cervical spondylosis,combined moderate to severe insomnia,combined moderate to severe fatigue and history of migraine in the occurrence group were higher than those in the non-occurrence group,and the differences were statistically significant(P<0.05).The logistic regression analysis showed that age≥50 years old,combined hypertension,history of head trauma,history of cervical spondylosis,combined moderate to severe insomnia,combined moderate to severe fatigue,and history of migraine were all risk factors for the poor short-term efficacy in the patients with BPPV after manual reduction(OR>1,P<0.05).Conclusions:Age≥50 years old,combined hypertension,history of head trauma,history of cervical spondylosis,combined moderate to severe insomnia,combined moderate to severe fatigue,and history of migraine are the risk factors for the poor short-term efficacy in the patients with BPPV after manual reduction.
作者
梁远远
孙慧远
LIANG Yuanyuan;SUN Huiyuan(Otolaryngology Department of Puyang People’s Hospital,Puyang 457000 Henan,China;Otolaryngology Department of the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453000 Henan,China)
出处
《中国民康医学》
2023年第13期11-13,21,共4页
Medical Journal of Chinese People’s Health
关键词
良性阵发性位置性眩晕
手法复位
短期疗效不佳
影响因素
Benign paroxysmal positional vertigo
Manual reduction
Poor short-term efficacy
Influencing factor
