【摘要】：目的探討老年人耳后半規(guī)管良性陣發(fā)性位置性眩暈(BPPV)與睡眠習(xí)慣的相關(guān)性。方法選取2011年3月至2012年3月該院收治并確診為單側(cè)耳后半規(guī)管BPPV的老年患者110例,均可確定睡眠時(shí)的優(yōu)勢(shì)側(cè)睡眠習(xí)慣。詢問并記錄患者的病史,同時(shí)進(jìn)行眼球運(yùn)動(dòng)、步態(tài)、Dix-Hallpike試驗(yàn)、頭顱MRI、純音測(cè)聽法等神經(jīng)系統(tǒng)體格檢查。結(jié)果 Dix-Hallpike試驗(yàn)左側(cè)陽性41例,右側(cè)陽性69例。睡眠時(shí)臥位偏愛右側(cè)62例,左側(cè)31例,仰臥位17例。單側(cè)Dix-Hallpike試驗(yàn)顯示,睡眠習(xí)慣與患耳同側(cè)的患者76例,其中左側(cè)24例,右側(cè)52例,睡眠頭部位置與患耳同側(cè)的相關(guān)性具有統(tǒng)計(jì)學(xué)意義(χ2=36.628,P0.01),Pearson列系數(shù)為0.502 7。結(jié)論在老年單側(cè)耳后半規(guī)管BPPV患者中,睡眠眩暈發(fā)作時(shí)以右側(cè)臥位居多,患耳與同側(cè)臥位之間存在明顯相關(guān)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，

本文編號(hào)：2510125