Wang C X, Wang J M
The First Clinical Medical College,Shanxi Medical University,Taiyuan,030001,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Sep;32(17):1298-1303. doi: 10.13201/j.issn.1001-1781.2018.17.003.
To investigate the risk factors for recurrence after otolith reduction of benign paroxysmal positional vertigo by Meta analysis.The relevant literatures of risk factors for recurrence of BPPV were searched by the database of PubMed, Embase, OVID, Springer, Proquest. Revman 5.3 software was used to perform Meta analysis of the included literature. A total of 15 articles were included in the final analysis and a total of 4 477 cases were included. Meta analysis results showed: the recurrent after otolith reduction of BPPV in patients with the hyperlipidemia and Meniere's disease increased significantly, compared to the patients without the hyperlipidemia and Meniere's disease, difference was statistically significant[=1.74, 95%(1.14-2.65),=0.01;=4.57,95%(2.78-7.52),<0.01]. There was no significant difference in the recurrence after otolith reduction of BPPV in patients with diabetes and migraine compared without diabetes and migraine[=1.14,95%(0.84-1.54),>0.05; =0.99, 95%(0.66-1.47),>0.05].Hyperlipidemia and Meniere's disease are risk factors for the recurrence after otolith reduction of BPPV.
通过Meta分析探讨良性阵发性位置性眩晕耳石复位后复发的危险因素。通过PubMed、Embase、OVID、Springer、Proquest数据库检索BPPV复发危险因素的相关文献。采用Revman 5.3软件对纳入文献进行Meta分析。最终纳入分析15篇文章,共纳入4477例病例。Meta分析结果显示:高脂血症和梅尼埃病患者BPPV耳石复位后的复发率较无高脂血症和梅尼埃病患者显著增加,差异有统计学意义[=1.74,95%(1.14 - 2.65),=0.01;=4.57,95%(2.78 - 7.52),<0.01]。糖尿病和偏头痛患者BPPV耳石复位后的复发率与无糖尿病和偏头痛患者相比无显著差异[=1.14,95%(0.84 - 1.54),>0.05; =0.99,95%(0.66 - 1.47),>0.05]。高脂血症和梅尼埃病是BPPV耳石复位后复发的危险因素。