Wang Yue, Zhang Dongdong, Lei Min, Zeng Peiji, Cai Chengfu
Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Xiamen University,Xiamen,361003,China.
School of Medicine,Xiamen University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Jan 5;35(1):62-65. doi: 10.13201/j.issn.2096-7993.2021.01.016.
To explore the relationship between benign paroxysmal positional vertigo (BPPV) and sleep disorders through the analysis of subjective and objective sleep conditions. Forty-five patients with BPPV and fifty controls who met the inclusion and exclusion criteria were selected for Pittsburgh sleep quality index (PSQI) questionnaire survey and polysomnography (PSG) check, and SPSS 23.0 was used to compare and analyze the results. Compared with the control group, patients with BPPV had changes in sleep structure, high apnea hypopnea index (AHI) and significantly decreased subjective sleep quality (<0.05), and there were significant differences in the PQSI scores of patients with BPPV before and after treatment (<0.05).Binary logistic regression analysis of BPPV and AHI showed that for every 1 increase in AHI index, the probability of BPPV increased by 1.8 times (=2.80, 95%=2.25-3.66).After grouping AHI and performing regression analysis, it was found that the risk of BPPV in patients with AHI≥5 was 3.94 times that of patients with AHI <5(=3.94,95%=1.63-9.48). Patients with BPPV have decreased sleep quality and altered sleep structure, and in this study, AHI is found to be a risk indicator for BPPV.
通过分析主观和客观睡眠状况,探讨良性阵发性位置性眩晕(BPPV)与睡眠障碍之间的关系。选取45例符合纳入和排除标准的BPPV患者及50例对照者进行匹兹堡睡眠质量指数(PSQI)问卷调查和多导睡眠图(PSG)检查,并采用SPSS 23.0对结果进行比较分析。与对照组相比,BPPV患者睡眠结构发生改变,呼吸暂停低通气指数(AHI)升高,主观睡眠质量显著下降(<0.05),且BPPV患者治疗前后PSQI评分存在显著差异(<0.05)。对BPPV与AHI进行二元逻辑回归分析显示,AHI指数每增加1,BPPV发生的概率增加1.8倍(=2.80,95%=2.25 - 3.66)。对AHI进行分组并进行回归分析后发现,AHI≥5的患者发生BPPV的风险是AHI<5的患者的3.94倍(=3.94,95%=1.63 - 9.48)。BPPV患者睡眠质量下降,睡眠结构改变,且本研究发现AHI是BPPV的一个风险指标。