本文選題：良性陣發(fā)性位置性眩暈 + 危險(xiǎn)因素��； 參考：《寧夏醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:綜合分析良性陣發(fā)性位置性眩暈患者的臨床特征,了解其發(fā)病的病因及其相關(guān)危險(xiǎn)因素,探討B(tài)PPV的發(fā)病機(jī)理,為我國(guó)臨床上降低BPPV的患病率提供理論依據(jù)。方法:回顧性分析甘肅省人民醫(yī)院耳鼻咽喉頭頸外科門診2015年10月到2016年12月期間就診,且符合納入及排除標(biāo)準(zhǔn)的BPPV患者150例。進(jìn)行詳細(xì)采集相關(guān)病史資料及并對(duì)每例患者進(jìn)行詳細(xì)耳科�？茩z查,并均行眼震電圖、純音聽閾檢查及頭顱MRI。運(yùn)用統(tǒng)計(jì)軟件SPSS17.0進(jìn)行統(tǒng)計(jì)分析,單因素分析:二分類變量采用卡方檢驗(yàn)進(jìn)行比較,多因素與良性陣發(fā)性位置性眩暈發(fā)病與否的關(guān)系采用二分類變量Logistic回歸分析,明確良性陣發(fā)性位置性眩暈患者發(fā)病的獨(dú)立危險(xiǎn)因素。結(jié)果:1.分析統(tǒng)計(jì)數(shù)據(jù)得出,共有12個(gè)因素與良性陣發(fā)性位置性眩暈的發(fā)生存在相關(guān)性,分別為腦卒中(P0.05),高血壓(P0.05),高脂血癥(P0.05),前庭神經(jīng)元炎(P0.05),梅尼埃病(P0.05),慢性化膿性中耳炎(P0.05),頭顱外傷(P0.05),頸椎病(P0.05),偏頭痛(P0.05),骨質(zhì)疏松癥(P0.05),性別(P0.05),年齡(P0.05),2個(gè)因素與良性陣發(fā)性位置性眩暈的發(fā)生無顯著相關(guān)性,糖尿病(P0.05),耳鼻頜面手術(shù)史(P=0.05)。2.將有意義的單因素帶入Logistic回歸進(jìn)行多因素分析得出腦卒中、高脂血癥、慢性化膿性中耳炎、頸椎病、骨質(zhì)疏松癥為良性陣發(fā)性位置性眩暈的獨(dú)立危險(xiǎn)因素。結(jié)論:BPPV的發(fā)病與腦卒中,高血壓病,前庭神經(jīng)元炎,梅尼埃病,慢性化膿性中耳炎,頭顱外傷,頸椎病,偏頭痛,骨質(zhì)疏松癥,性別,年齡有相關(guān)性,其中腦卒中、高脂血癥、慢性化膿性中耳炎、頸椎病、骨質(zhì)疏松癥為BPPV發(fā)生的獨(dú)立危險(xiǎn)因素,臨床醫(yī)生在診治BPPV時(shí)可充分考慮其相關(guān)危險(xiǎn)因素,及時(shí)制訂有效預(yù)防對(duì)策及進(jìn)行相關(guān)病因治療,預(yù)防BPPV的發(fā)生,提高治療效果。
[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.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R764

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