良性发作性位置性眩晕患者治疗后复发的影响因素研究

发布时间：2018-06-08 11:27

本文选题：良性发作性位置性眩晕 + 复发　；参考：《中国现代医学杂志》2017年16期

【摘要】：目的探讨良性发作性位置性眩晕患者治疗后复发的相关因素,以期能为后期治疗提供依据。方法回顾性分析2011年5月-2014年3月眉山市中医医院门诊收治的479例良性发作性位置性眩晕患者的临床资料,依据患者复发情况分为复发组和无复发组。统计良性发作性位置性眩晕患者治疗后复发情况,包括复发率、复发时间和复发次数。比较两组患者的临床资料,并进行单因素分析和多因素Logistic回归分析。结果良性发作性位置性眩晕患者479例,其中101例(21.09%)复发,复发时间:1~6个月41例(40.59%),6~12个月48例(47.52%),12个月以上11例(10.89%);复发次数:1次54例(53.47%),2次39例(38.61%),3次及以上8例(7.92%)。单因素分析结果显示,两组患者在年龄、受累半规管、病程、复位次数、发作次数、外伤史、合并高血脂、糖尿病方面差异有统计学意义(P0.05)。对单因素分析中差异有统计学意义的因素进行多因素Logistic回归分析,结果显示病程7 d、复位次数、外伤史、合并高血脂、糖尿病是良性发作性位置性眩晕治疗后复发的独立危险因素(P0.05)。结论病程、复位次数、外伤史、合并高血脂、糖尿病是良性发作性位置性眩晕治疗后复发的独立危险因素,医护人员应加强临床护理,降低复发率。
[Abstract]:Objective to investigate the related factors of recurrence in patients with benign paroxysmal positional vertigo. Methods the clinical data of 479 patients with benign paroxysmal positional vertigo admitted from May 2011 to March 2014 in Meishan traditional Chinese Medicine Hospital were retrospectively analyzed. The recurrence of benign paroxysmal positional vertigo after treatment, including recurrence rate, recurrence time and times of recurrence, were analyzed. The clinical data of the two groups were compared, and univariate analysis and multivariate logistic regression analysis were performed. Results there were 479 cases of benign paroxysmal positional vertigo, of which 101 cases (21.09) recurred. The time of recurrence was 40.59 months (41 cases) and 47.52% (48 cases) from 6 months to 12 months (48 cases), and more than 12 months (11 cases) with 10.892.The recurrence frequency of 54 cases (53.471) was 53.472 times (39 cases) 38.61 times and above (7.922). Univariate analysis showed that there were significant differences in age, involved semicircular canal, course of disease, reduction times, number of episodes, history of trauma, hyperlipidemia and diabetes mellitus between the two groups (P 0.05). Multivariate logistic regression analysis was performed on the factors with statistical significance in univariate analysis. The results showed that the course of the disease was 7 days, the reduction times, the history of trauma, and the combination of hyperlipidemia and hyperlipidemia. Diabetes mellitus is an independent risk factor for recurrence after treatment of benign paroxysmal positional vertigo. Conclusion the course of disease, the times of reduction, the history of trauma, the combination of hyperlipidemia and diabetes mellitus are independent risk factors of recurrence after treatment of benign paroxysmal positional vertigo. Medical staff should strengthen clinical nursing and reduce the recurrence rate.
【作者单位】：四川省眉山市中医医院神经内科;
【分类号】：R741.041

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