摘要
目的:研究青年人群良性阵发性位置性眩晕(BPPV)患者的复发与人体中医体质相关性。方法:选取2021年3月—2023年3月北京市朝阳区双桥医院神经内科门诊18~40岁确诊为BPPV患者228例,通过问卷调查的方式对入组患者进行中医体质辨识,同时记录相关临床资料,其中包括入组患者的性别、年龄、睡眠情况、既往病史、病程时间、发病累及半规管、复发与否等情况,从而分析青年BPPV患者复发的相关危险因素及复发与中医体质的相关性。结果:在入组的BPPV患者中,男性患者83例,占样本总量36.40%;女性患者145例,约占样本总量63.60%;男女比例约为1︰1.75。女性发病率高于男性(P<0.05)。其中复发患者为74例,占总人数的32.46%。根据中医体质分型结果显示,气虚质、痰湿质、气郁质为青年患者BPPV复发的危险因素(P<0.05)。其他影响因素分析,单因素分析结果显示偏头痛、睡眠障碍、高血压病、高脂血症与青年患者BPPV复发相关。(P<0.05)。有统计学意义的变量进行多因素非条件逐步Logistic回归分析,结果显示气虚质、睡眠障碍、高脂血症为青年BPPV患者复发的独立危险因素(P<0.05)。结论:青年BPPV发病率相对较高,女性多见,中医体质分型中气虚质类型为BPPV复发患者常见体质。气虚质、睡眠障碍、高脂血症为青年BPPV患者复发的独立危险因素。
Objective To study the correlation between recurrence and constitution of traditional Chinese medicine(TCM)in young patients with benign paroxysmal positional vertigo(BPPV).Methods Record from March 2021 to March 2023,228 patients diagnosed with BPPV in the Department of Neurology of Beijing Shuangqiao Hospital age-range 18-40 years were selected,and the TCM constitution of the enrolled patients was identified by questionnaire survey,and relevant clinical data were recorded,including the gender,age,sleep status,past medical history,duration of the disease,onset and involvement of semicircular canals,and recurrence or not,so as to analyze BPPV in young patients risk factors related to recurrence and the correlation between recurrence and TCM constitution.Results Among the enrolled BPPV patients,83 were male patients,representing 36.40%of the total sample;145 were female patients,representing 63.60%of the total sample.the male to female ratio was about 1:1.75.After Chi-square analysis,the incidence of disease was higher in women than in men(P<0.05).74 recurrent patients relapsed,accounting for 32.46%of the total number.According to the TCM constitution classification,qi deficiency,sputum dampness,and qi depression were risk factors for BPPV recurrence in young patients(P<0.05).Analysis of other influencing factors,and the results of univariate analysis showed that migraine,sleep disturbance,hypertension,and hyperlipidemia were associated with BPPV recurrence in young patients(P<0.05).Statistically significant variables were analyzed by stepwise multivariate Logistic regression,which showed that recurrence was positively associated with the presence of gas deficiency,sleep disturbance and hyperlipidemia.Conclusions For young BPPV patients,qi deficiency,sleep disturbance,and hyperlipidemia are independent risk factors for recurrence in young BPPV patients.
作者
贾姝婧
王文科
Jia Shujing;Wang Wenke(Department of Neurology,Shuangqiao Hospital in Chaoyang District,Beijing,Beijing 100024,China)
出处
《医药前沿》
2023年第33期12-14,共3页
Journal of Frontiers of Medicine
关键词
良性阵发性位置性眩晕
中医体质辨识
青年
危险因素
benign paroxysmal positional vertigo
Identification of traditional Chinese medicine constitution
Youth
risk factors
