Liu Yuqing, Zhang Yuan, Tao Fangying, Lan Li, Yang Kejie
Department of Audiology,Guizhou Provincial People's Hospital,Guizhou Hearing Rehabilitation Research Center,Guizhou Newborn Hearing Screening and Diagnosis Center,Guiyang,550000,China.
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.
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.
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。