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[良性阵发性位置性眩晕患者睡眠姿势及触发运动的研究]

[Investigation of sleep position and triggered movement in patients with benign paroxysmal positional vertigo].

作者信息

Liu Yuqing, Zhang Yuan, Tao Fangying, Lan Li, Yang Kejie

机构信息

Department of Audiology,Guizhou Provincial People's Hospital,Guizhou Hearing Rehabilitation Research Center,Guizhou Newborn Hearing Screening and Diagnosis Center,Guiyang,550000,China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Jul;36(7):515-519. doi: 10.13201/j.issn.2096-7993.2022.07.007.

DOI:10.13201/j.issn.2096-7993.2022.07.007
PMID:35822378
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10128382/
Abstract

To investigate the characteristics of habitual sleeping position and triggered movement in patients with benign paroxysmal positional vertigo(BPPV). The patients with idiopathic tubulitic BPPV who the symptoms were relieved after repositioning were enrolled in this study. The relationship between the side, the tube of otolith detachment and habitual sleeping position and triggered movement was analyzed. ①Among the 446 patients, female gender predominated(319 cases, 71.5%), 41-60 years old group accounted for the highest proportion(192 cases, 43.0%), and posterior semicircular canal patients accounted for the highest proportion(289 cases, 64.8%); ②The affected side was associated with habitual sleep postion(<0.05, ES=0.392), ipsilateral ear was more common in left or right decubitus; ③There were statistically significant differences in the triggered movement in different types of BPPV(<0.05, ES=0.380), BPPV of multiple semicircular canals. Horizontal semicircular canals and posterior semicircular canals were more likely to induce vertigo and nystagmus. Habitual sleeping position and triggered movement could be collected during the diagnosis of BPPV, to predict the affected side and tube. The combination of Roll test and Dix-Hallpike test is more conducive to accurately distinguish the location of otolith shedding.

摘要

探讨良性阵发性位置性眩晕(BPPV)患者的习惯性睡眠姿势及诱发动作特点。纳入复位后症状缓解的特发性管结石性BPPV患者,分析耳石脱离半规管侧别与习惯性睡眠姿势及诱发动作之间的关系。①446例患者中,女性居多(319例,71.5%),41 - 60岁组占比最高(192例,43.0%),后半规管患者占比最高(289例,64.8%);②患侧与习惯性睡眠姿势有关(<0.05,ES = 0.392),左侧或右侧卧位时患耳同侧更为常见;③不同类型BPPV的诱发动作存在统计学差异(<0.05,ES = 0.380),多个半规管的BPPV中,水平半规管和后半规管更易诱发眩晕和眼震。BPPV诊断过程中可收集习惯性睡眠姿势及诱发动作,以预测患侧及半规管。摇头试验和Dix - Hallpike试验联合应用更有助于准确判断耳石脱落部位。

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本文引用的文献

1
[Research progress on the screening questionnaire related to benign paroxysmal positional vertigo].[良性阵发性位置性眩晕相关筛查问卷的研究进展]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Jan;36(1):76-79. doi: 10.13201/j.issn.2096-7993.2022.01.018.
2
Variants of benign paroxysmal positional vertigo in relation to head position during sleep.睡眠期间与头部位置相关的良性阵发性位置性眩晕的变体
J Vestib Res. 2022;32(1):39-47. doi: 10.3233/VES-180616.
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Treatment Efficacy of Forced Prolonged Position After Cupulolith Repositioning Maneuver in Apogeotropic HSCC BPPV.耳石复位手法后强迫延长头位治疗向地性水平半规管嵴顶结石症良性阵发性位置性眩晕的疗效。
Ear Nose Throat J. 2024 Apr;103(4):NP234-NP240. doi: 10.1177/01455613211038274. Epub 2021 Sep 29.
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Five subtypes of benign paroxysmal positional vertigo.五种良性阵发性位置性眩晕的亚型。
J Laryngol Otol. 2021 Oct;135(10):874-878. doi: 10.1017/S0022215121002097. Epub 2021 Aug 5.
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Less common forms of posterior canal benign paroxysmal positional vertigo.后半规管良性阵发性位置性眩晕的少见形式。
Acta Otorhinolaryngol Ital. 2021 Jun;41(3):255-262. doi: 10.14639/0392-100X-N1032.
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The frequency and impact of undiagnosed benign paroxysmal positional vertigo in outpatients with high falls risk.高跌倒风险门诊患者中未诊断的良性阵发性位置性眩晕的频率和影响。
Age Ageing. 2021 Nov 10;50(6):2025-2030. doi: 10.1093/ageing/afab122.
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[Study on the relationship between benign paroxysmal positional vertigo and sleep disturbance].[良性阵发性位置性眩晕与睡眠障碍的关系研究]
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.
8
Efficacy of combined canalith-repositioning procedure and supine to prolonged lateral position in treating posterior canal benign paroxysmal positional vertigo.联合管石复位术和仰卧至长时间侧卧位治疗后半规管良性阵发性位置性眩晕的疗效。
Auris Nasus Larynx. 2021 Oct;48(5):834-840. doi: 10.1016/j.anl.2021.01.009. Epub 2021 Jan 17.
9
Unhealthy Lifestyle Is an Important Risk Factor of Idiopathic BPPV.不健康的生活方式是特发性良性阵发性位置性眩晕的重要危险因素。
Front Neurol. 2020 Oct 15;11:950. doi: 10.3389/fneur.2020.00950. eCollection 2020.
10
Double-Blind Randomized Trial on the Efficacy of the Forced Prolonged Position for Treatment of Lateral Canal Benign Paroxysmal Positional Vertigo.强迫体位延长法治疗水平半规管良性阵发性位置性眩晕的双盲随机临床试验
Laryngoscope. 2021 Apr;131(4):E1296-E1300. doi: 10.1002/lary.28981. Epub 2020 Aug 21.