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老年人耳后半规管良性阵发性位置性眩晕与睡眠习惯的相关性

发布时间:2019-07-04 18:32
【摘要】:目的探讨老年人耳后半规管良性阵发性位置性眩晕(BPPV)与睡眠习惯的相关性。方法选取2011年3月至2012年3月该院收治并确诊为单侧耳后半规管BPPV的老年患者110例,均可确定睡眠时的优势侧睡眠习惯。询问并记录患者的病史,同时进行眼球运动、步态、Dix-Hallpike试验、头颅MRI、纯音测听法等神经系统体格检查。结果 Dix-Hallpike试验左侧阳性41例,右侧阳性69例。睡眠时卧位偏爱右侧62例,左侧31例,仰卧位17例。单侧Dix-Hallpike试验显示,睡眠习惯与患耳同侧的患者76例,其中左侧24例,右侧52例,睡眠头部位置与患耳同侧的相关性具有统计学意义(χ2=36.628,P0.01),Pearson列系数为0.502 7。结论在老年单侧耳后半规管BPPV患者中,睡眠眩晕发作时以右侧卧位居多,患耳与同侧卧位之间存在明显相关性。
[Abstract]:Objective to investigate the relationship between (BPPV) and sleep habits in elderly patients with benign paroxysmal positional vertigo of posterior semicircular canal. Methods from March 2011 to March 2012, 110 elderly patients with unilateral posterior semicircular canal BPPV were selected to determine the sleep habits of the dominant side. The medical history of the patients was asked and recorded, and the physical examination of nervous system such as eye movement, gait, Dix-Hallpike test and MRI, pure tone audiometric examination were performed at the same time. Results 41 cases were positive on the left side and 69 cases were positive on the right side of Dix-Hallpike test. There were 62 cases of right side preference, 31 cases of left side and 17 cases of supine position during sleep. Unilateral Dix-Hallpike test showed that there were 76 patients with ipsilateral sleep habits, including 24 patients on the left side and 52 patients on the right side. The correlation between sleep head position and ipsilateral ear was statistically significant (蠂 2 鈮,

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