良性阵发性位置性眩晕的相关危险因素分析

发布时间：2018-04-26 03:05

本文选题：良性阵发性位置性眩晕 + 危险因素　；参考：《宁夏医科大学》2017年硕士论文

【摘要】：目的:综合分析良性阵发性位置性眩晕患者的临床特征,了解其发病的病因及其相关危险因素,探讨BPPV的发病机理,为我国临床上降低BPPV的患病率提供理论依据。方法:回顾性分析甘肃省人民医院耳鼻咽喉头颈外科门诊2015年10月到2016年12月期间就诊,且符合纳入及排除标准的BPPV患者150例。进行详细采集相关病史资料及并对每例患者进行详细耳科专科检查,并均行眼震电图、纯音听阈检查及头颅MRI。运用统计软件SPSS17.0进行统计分析,单因素分析:二分类变量采用卡方检验进行比较,多因素与良性阵发性位置性眩晕发病与否的关系采用二分类变量Logistic回归分析,明确良性阵发性位置性眩晕患者发病的独立危险因素。结果:1.分析统计数据得出,共有12个因素与良性阵发性位置性眩晕的发生存在相关性,分别为脑卒中(P0.05),高血压(P0.05),高脂血症(P0.05),前庭神经元炎(P0.05),梅尼埃病(P0.05),慢性化脓性中耳炎(P0.05),头颅外伤(P0.05),颈椎病(P0.05),偏头痛(P0.05),骨质疏松症(P0.05),性别(P0.05),年龄(P0.05),2个因素与良性阵发性位置性眩晕的发生无显著相关性,糖尿病(P0.05),耳鼻颌面手术史(P=0.05)。2.将有意义的单因素带入Logistic回归进行多因素分析得出脑卒中、高脂血症、慢性化脓性中耳炎、颈椎病、骨质疏松症为良性阵发性位置性眩晕的独立危险因素。结论:BPPV的发病与脑卒中,高血压病,前庭神经元炎,梅尼埃病,慢性化脓性中耳炎,头颅外伤,颈椎病,偏头痛,骨质疏松症,性别,年龄有相关性,其中脑卒中、高脂血症、慢性化脓性中耳炎、颈椎病、骨质疏松症为BPPV发生的独立危险因素,临床医生在诊治BPPV时可充分考虑其相关危险因素,及时制订有效预防对策及进行相关病因治疗,预防BPPV的发生,提高治疗效果。
[Abstract]:Objective: to analyze the clinical characteristics of benign paroxysmal positional vertigo, to understand the etiology and related risk factors of benign paroxysmal positional vertigo, to explore the pathogenesis of BPPV, and to provide a theoretical basis for reducing the prevalence rate of BPPV in China. Methods: a retrospective analysis of 150 BPPV patients who met the criteria of inclusion and exclusion in the outpatient department of otolaryngology and head and neck surgery in Gansu Provincial people's Hospital from October 2015 to December 2016 was performed. All patients were examined with ENT, pure tone audiometry and head MRI. Statistical software SPSS17.0 was used for statistical analysis, single factor analysis: two classification variables were compared by chi-square test, and the relationship between multiple factors and benign paroxysmal positional vertigo was analyzed by Logistic regression analysis. To identify the independent risk factors of benign paroxysmal positional vertigo. The result is 1: 1. A total of 12 factors were found to be associated with the occurrence of benign paroxysmal positional vertigo. Stroke P0.05, Hypertension, Hyperlipidemia, Vestibular Neuron, Meniere's Disease, chronic suppurative Otitis Media, head Trauma, Cervical Spondylosis, Migraine, Osteoporosis, Osteoporosis, Sex, Age, P0.05, 2 factors and benign Paradox There was no significant correlation between the occurrence of sexual positional vertigo, Diabetes mellitus, P 0.05, the history of ear, nose and maxillofacial surgery, P0. 05. 2. Significant univariate analysis with Logistic regression showed that stroke, hyperlipidemia, chronic suppurative otitis media, cervical spondylosis and osteoporosis were independent risk factors for benign paroxysmal positional vertigo. Conclusion the incidence of BPPV is correlated with stroke, hypertension, vestibular neuritis, Meniere's disease, chronic suppurative otitis media, head trauma, cervical spondylopathy, migraine, osteoporosis, sex and age. Chronic suppurative otitis media, cervical spondylopathy and osteoporosis are independent risk factors for the occurrence of BPPV. Clinicians can take full account of the relevant risk factors in the diagnosis and treatment of BPPV, and make effective preventive measures and relevant etiological treatment in time. To prevent the occurrence of BPPV and improve the therapeutic effect.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R764

【参考文献】