眩晕头晕主诉患者中良性阵发性位置性眩晕的占比分析

doi:10.6040/j.issn.1673-3770.1.2019.040

摘要/Abstract

摘要： 目的

研究分析良性阵发性位置性眩晕（BPPV）在眩晕头晕主诉患者的占比。

方法

回顾性分析2017年6月至2018年5月耳鼻咽喉头颈外科就诊的4 227例患者病历资料，包括主诉、症状特征、病史及相关检测结果、初步诊断等，根据资料进行眩晕与头晕分类并统计分析BPPV患者在总病例、眩晕病例和头晕病例中的构成比及其发病情况。

结果

4 227例患者中，眩晕和头晕分别为3 188例（74.54%）、1 039例（24.59%），BPPV患者在总病例、眩晕组和头晕组中分别为450例（10.65%）、437例（13.66%）、13例（1.26%）。

结论

BPPV患者在就诊眩晕主诉病人和头晕主诉病人中的比例分别为13.66%、1.26%，以中老年女性居多。

关键词: 眩晕, 头晕, 良性阵发性位置性眩晕, 构成比

Abstract: Objective

The occurrence and proportion of benign paroxysmal positional vertigo (BPPV) in patients presenting with vertigo and dizziness were analyzed.

Methods

A retrospective analysis of medical records, including patients’ complaints, symptom characteristics, medical history and related test results, preliminary diagnosis, etc. of 4 227 patients was conducted from June 2017 to May 2018 at the otolaryngology, head and neck surgery and vertigo clinic at our hospital. Based on the collected data, the patients were divided into two groups, a dizziness group and a vertigo group. We performed a statistical analysis of the above data and calculated the proportion of BPPV patients in the total number of cases, and in cases of vertigo or dizziness.

Results

Among the 4 227 patients in the analysis, 3 188 (approximately 74.54%) were patients with vertigo and 1 039 (approximately 24.59%) were patients with dizziness. Among all patients, there were 450 cases (approximately 10.65%) of BPPV of which 437 (approximately 13.66% of the total cases) BPPV patients belonged to the vertigo group, and the remaining 13 patients with BPPV (approximately 1.26% of the total) belonged to the dizziness group.

Conclusion

The proportion of BPPV cases in the vertigo and dizziness groups were 13.66% and 1.26%, respectively; middle-aged and older women accounted for the majority of the cases.

Key words: Vertigo, Dizziness, Benign paroxysmal positional vertigo, Proportion

中图分类号:

R764.34

张玥琦, 邓巧媚, 王巍, 徐开旭, 温超, 刘强, 陈太生, 林鹏. 眩晕头晕主诉患者中良性阵发性位置性眩晕的占比分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 18-21.

Yueqi ZHANG, Qiaomei DENG, Wei WANG, Kaixu XU, Chao WEN, Qiang LIU, Taisheng CHEN, Peng LIN. Analysis of the proportion of benign paroxysmal positional vertigo in patients with vertigo and dizziness[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 18-21.

参考文献 16

1	中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会 . 良性阵发性位置性眩晕诊断和治疗指南(2017)[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(3): 173-177. doi:10.3760/cma.j.issn.1673-0860.2017.03.003 . doi: 10.3760/cma.j.issn.1673-0860.2017.03.003
	Editorial Board Of Chinese Journal Of Otorhinolary . Guideline of diagnosis and treatment of benign paroxysmal positional vertigo (2017)[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2017, 52(3): 173-177. doi:10.3760/cma.j.issn.1673-0860.2017.03.003 . doi: 10.3760/cma.j.issn.1673-0860.2017.03.003
2	Bisdorff A , von Brevern M , Lempert T , et al . Classification of vestibular symptoms: towards an international classification of vestibular disorders[J]. J Vestib Res, 2009, 19(1/2): 1-13. doi:10.3233/VES-2009-0343 . doi: 10.3233/VES-2009-0343
3	冯智英, 杨晓岚, 沈沸, 等 . 前庭症状的分类: 迈向前庭疾患的国际分类[J]. 神经病学与神经康复学杂志, 2012, 8(3): 127-137. doi: 10.3969/j.issn.1672-7061.2012.03.010
	FENG Zhiying , YANG Xiaolan , SHEN Fei , et al . Classification of vestibular symptoms: towards an international classification of vestibular disorders[J]. Journal of Neurology and Neurorehabilitation, 2012, 8(3): 127-137.doi:10.3969/j.issn.1672-7061.2012.03.010 doi: 10.3969/j.issn.1672-7061.2012.03.010
4	张卫东 . 良性阵发性位置性眩晕临床特点分析[J]. 中国卫生产业, 2014, 11(5): 133, 135. doi:10.16659/j.cnki. 1672-5654.2014.05.122 . doi: 10.16659/j.cnki. 1672-5654.2014.05.122
5	Katsarkas A . Benign paroxysmal positional vertigo (BPPV): idiopathic versus post-traumatic[J]. Acta Otolaryngol, 1999, 119(7): 745-749. doi:10.1080/00016489950-180360 . doi: 10.1080/00016489950-180360
6	王伟, 王林娥, 刘博, 等 . 耳鼻喉科门诊1 812例眩晕患者的临床特点分析[J]. 临床和实验医学杂志, 2014, 13(6): 471-473. doi:10.3969/j.issn.1671-4695.2014.06.016 . doi: 10.3969/j.issn.1671-4695. 2014.06.016
	WANG Wei , WANG Lin′e , LIU Bo , et al . Study on clinical features of 1 812 outpatients with vertigo in ENT department[J]. Journal of Clinical and Experimental Medicine, 2014, 13(6): 471-473. doi:10.3969/j.issn.1671-4695. 2014.06.016 . doi: 10.3969/j.issn.1671-4695. 2014.06.016
7	Isaradisaikul S , Navacharoen N , Hanprasertpong C , et al . Causes and time-course of vertigo in an ear, nose, and throat clinic[J]. Eur Arch Otorhinolaryngol, 2010, 267(12): 1837-1841. doi:10.1007/s00405-010-1309-9 . doi: 10.1007/s00405-010-1309-9
8	von Brevern M , Radtke A , Lezius F , et al . Epidemiology of benign paroxysmal positional vertigo: a population based study[J]. J Neurol Neurosurg Psychiatry, 2007, 78(7): 710-715. doi:10.1136/jnnp.2006.100420 . doi: 10.1136/jnnp.2006.100420
9	李玉梅, 冯为菊, 李玲, 等 . 60岁以上老年眩晕临床分析[J]. 中外医疗, 2016, 35(31): 59-61. doi:10.16662/j.cnki.1674-0742.2016.31.059 . doi: 10.16662/j.cnki.1674-0742.2016.31.059
	LI Yumei , FENG Weiju , LI Ling , et al . Clinical analysis of vertigo in elderly patients over 60 years of age[J]. China Foreign Medical Treatment, 2016, 35(31): 59-61. doi:10.16662/j.cnki.1674-0742.2016.31.059 . doi: 10.16662/j.cnki.1674-0742.2016.31.059
10	粟秀初, 孔繁元, 黄如训 . 进一步提升眩晕、头晕和头昏诊疗工作中的理性共识[J]. 中国神经精神疾病杂志, 2011, 37(11): 702-704. doi:10.3969/j.issn.1002-0152. 2011.11.015 . doi: 10.3969/j.issn.1002-0152. 2011.11.015
11	马鑫, 张翔, 静媛媛, 等 . 特发性良性阵发性位置性眩晕患者双温试验的分析[J]. 临床耳鼻咽喉头颈外科杂志, 2009, 23(10): 439-442. doi:10.3969/j.issn.1001-1781.2009.10.003 . doi: 10.3969/j.issn.1001-1781.2009.10.003
	MA Xin , ZHANG Xiang , JING Yuanyuan , et al . The bithermal test in idiopathic benign paroxysmal positional vertigo[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2009, 23(10): 439-442. doi:10.3969/j.issn.1001-1781.2009.10.003 . doi: 10.3969/j.issn.1001-1781.2009.10.003
12	张娜, 陈太生, 董红, 等 . 良性阵发性位置性眩晕病因学分析[J]. 临床耳鼻咽喉头颈外科杂志, 2011, 25(7): 307-311. doi:10.3969/j.issn.1001-1781.2011.07. 007 . doi: 10.3969/j.issn.1001-1781.2011.07.007
	ZHANG Na , CHEN Taisheng , DONG Hong , et al . To analyze the etiology of benign paroxysmal positional vertigo[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2011, 25(7): 307-311. doi:10.3969/j.issn.1001-1781.2011.07.007 . doi: 10.3969/j.issn.1001-1781.2011.07.007
13	张云美, 杨振栋, 李万鑫, 等 . 绝经女性良性阵发性位置性眩晕的复发与骨密度及雌激素水平的关系[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(12): 881-884. doi:10.3760/cma.j.issn.1673-0860.2017.12.001 . doi: 10.3760/cma.j.issn.1673-0860.2017.12.001
	ZHANG Yunmei , YANG Zhendong , LI Wanxin , et al . The relationship between the recurrence of benign paroxysmal positional vertigo and the level of bone mineral as well as estrogen in postmenopausal women[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2017, 52(12): 881-884. doi:10.3760/cma.j.issn.1673-0860.2017.12.001 . doi: 10.3760/cma.j.issn.1673-0860.2017.12.001
14	Jeong SH , Lee JH , Lee AY . Reversible visual memory in transient splenial lesion[J]. Neurology, 2009, 73(8): 647. doi:10.1212/WNL.0b013e3181b38a16 . doi: 10.1212/WNL.0b013e3181b38a16
15	季伟华, 邹静, 李颖, 等 . 3 270例门诊头晕患者的病因分析[J]. 神经病学与神经康复学杂志, 2009, 6(1): 9-12. doi:10.3969/j.issn.1672-7061.2009.01.003 . doi: 10.3969/j.issn.1672-7061.2009.01.003
	JI Weihua , ZHOU Jing , LI Ying , et al . Etiological Analysis of 3 270 Patients with Dizziness[J]. Journal of Neurology and Neurorehabilitation, 2009, 6(1): 9-12. doi:10.3969/j.issn.1672-7061.2009.01.003 . doi: 10.3969/j.issn.1672-7061.2009.01.003
16	龙玲, 邓军 . 眩晕患者艾森克人格问卷调查分析[J]. 北京医学, 2008, 30(7): 442-443. doi:10.3969/j.issn. 0253-9713.2008.07.024 . doi: 10.3969/j.issn. 0253-9713.2008.07.024

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed

[1]	陈太生, 王巍, 徐开旭, 林鹏. 良性阵发性位置性眩晕及其诊断治疗的思考[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 1-5.
[2]	谢慧. 眩晕的中医认识[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 11-17.
[3]	邓巧媚,张玥琦,王巍,徐开旭,温超,刘强,陈太生,林鹏. 良性阵发性位置性眩晕与合并疾病的关联性分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 22-25.
[4]	李传硕,李永团,曹海南,张孟璐. 眩晕患者的行为类型量化分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 32-36.
[5]	李晓璐. 前庭性偏头痛与几种常见周围性眩晕的鉴别诊断[J]. 山东大学耳鼻喉眼学报, 2019, 33(3): 23-26.
[6]	王登元,陈智斌,王杪琳. 伴发梅尼埃病的良性阵发性位置性眩晕的临床特点[J]. 山东大学耳鼻喉眼学报, 2019, 33(3): 61-65.
[7]	丁剑,刘艺鸣. 前庭康复对老年良性阵发性位置性眩晕患者后遗头晕的疗效[J]. 山东大学耳鼻喉眼学报, 2018, 32(6): 64-68.
[8]	侯小兵,任同力,张毅博. 69例梅尼埃病伴耳鸣的发病特点及影响因素[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 37-40.
[9]	朱梓建,刘强. 眼震方向可转换型外侧半规管良性阵发性位置性眩晕35例临床分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 53-57.
[10]	刘冰,李蓓,张莉,陈敏,张杰. 学龄前和学龄期BPV患儿临床特征比较[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 58-60.
[11]	鄢慧琴,王豪. 难治性良性阵发性位置性眩晕的临床分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 86-88.
[12]	李桂芳,王春华,张淑贞. 体位限制对手法复位后良性阵发性位置性眩晕的疗效观察[J]. 山东大学耳鼻喉眼学报, 2017, 31(6): 42-45.
[13]	鞠骏,李进让,邹世桢,贾曼玉. 创伤后良性阵发性位置性眩晕的临床特点及近期疗效研究[J]. 山东大学耳鼻喉眼学报, 2017, 31(5): 57-61.
[14]	刘学升,李筱瑜,邓玮. DHM阴性的非典型PSC-BPPV诊断策略探讨[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 88-90.
[15]	刘学升,李筱瑜,邓玮. 后半规管良性阵发性位置性眩晕急性发作时的临床表现[J]. 山东大学耳鼻喉眼学报, 2016, 30(6): 11-13.