手法復(fù)位治療良性陣發(fā)性位置性眩暈患者后復(fù)發(fā)的影響因素分析
發(fā)布時間:2018-05-25 06:52
本文選題:復(fù)發(fā) + 良性陣發(fā)性位置性眩暈; 參考:《神經(jīng)損傷與功能重建》2016年02期
【摘要】:目的:研究良性陣發(fā)性位置性眩暈(BPPV)患者經(jīng)手法復(fù)位治療后復(fù)發(fā)的影響因素。方法:選取BPPV患者200例,并給予手法復(fù)位治療,之后隨訪3月,統(tǒng)計治愈后30、60、90 d的復(fù)發(fā)情況,并分析復(fù)發(fā)危險因素。結(jié)果:183例患者完成隨訪。復(fù)發(fā)組和未復(fù)發(fā)組的年齡、BPPV病程、發(fā)作次數(shù)有顯著性差異(P0.001)。多元Logistic回歸分析發(fā)現(xiàn),BPPV病程(OR=2.171,95%CI為1.194~3.946,P=0.011)、復(fù)位次數(shù)≥10次(OR=3.040,95%CI為1.249~7.403,P=0.014)是影響手法復(fù)位后BPPV復(fù)發(fā)的獨立因素。結(jié)論:隨著治愈后時間的推移,BPPV復(fù)發(fā)的患者例數(shù)逐漸增多。
[Abstract]:Objective: to study the factors influencing the recurrence of benign paroxysmal positional vertigo (BPPV) patients after manual reduction. Methods: 200 patients with BPPV were treated with manual reduction and followed up for 3 months. The recurrence rate of 30 days after cure was counted and the risk factors of recurrence were analyzed. Results 183 patients were followed up. There was a significant difference in the course of BPPV and the number of episodes between the recurrent group and the non-recurrent group (P 0.001). Multivariate Logistic regression analysis showed that the CI of ORT 2.171 and 95 CI was 1.194 ~ 3.946g / L, and the number of reposition 鈮,
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