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血清钙和维生素D与良性阵发性位置性眩晕的关联

Association of Serum Calcium and Vitamin D with Benign Paroxysmal Positional Vertigo.

作者信息

Thomas Ron Jacob, Goutham M K, Bhat Vadisha Srinivas, Kamath Shrinath D, Aroor Rajeshwary, Bhandary Satheesh Kumar

机构信息

Department of Otorhinolaryngology, K S Hegde Medical Academy, Nitte (Deemed to be University), Mangalore, Karnataka, India.

出版信息

Int Arch Otorhinolaryngol. 2021 Nov 3;26(3):e365-e369. doi: 10.1055/s-0041-1724093. eCollection 2022 Jul.

Abstract

Benign paroxysmal positional vertigo (BPPV) is one of the common disorders of the peripheral vestibular system. The prevalence of BPPV is found to be higher among middle-aged women.  To estimate the serum levels of calcium and vitamin D in patients with BPPV, and to study their association.  The present is a hospital-based prospective case-control study. Venous blood samples of the 49 patients with BPPV and an equal number of age- and gender-matched individuals were recruited and submitted to an analysis of the serum levels of calcium and vitamin D.  Among the cases, 67.3% were found to be females, and 32.7% were males. Most of the 30 cases (61.3%) were aged > 40 years. The mean age of the cases was 44.39 years. The mean serum level of vitamin D in the cases was of 21.26 ng/ml compared with 17.59 ng/ml in the controls. The mean serum level of calcium was of 9.33 mg/dl in the cases, compared with 8.95 mg/dl in the controls. There was no significant difference in the serum levels of vitamin D and calcium between cases and controls.  We could not establish any correlation between the serum levels of calcium and vitamin D with BPPV. However, a negative relationship was found between the serum levels of vitamin D and the number of episodes of BPPV (  = 0.012).

摘要

良性阵发性位置性眩晕(BPPV)是外周前庭系统常见疾病之一。研究发现,BPPV在中年女性中的患病率较高。

为了评估BPPV患者血清钙和维生素D水平,并研究它们之间的关联。

本研究是一项基于医院的前瞻性病例对照研究。招募了49例BPPV患者和数量相等、年龄及性别匹配的个体的静脉血样本,进行血清钙和维生素D水平分析。

在病例组中,67.3%为女性,32.7%为男性。30例患者中大多数(61.3%)年龄>40岁。病例组的平均年龄为44.39岁。病例组维生素D的平均血清水平为21.26 ng/ml,而对照组为17.59 ng/ml。病例组钙的平均血清水平为9.33 mg/dl,对照组为8.95 mg/dl。病例组和对照组血清维生素D和钙水平无显著差异。

我们未能确定血清钙和维生素D水平与BPPV之间存在任何相关性。然而,发现维生素D血清水平与BPPV发作次数之间呈负相关(P = 0.012)。

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Vitamin D deficiency and benign paroxysmal positioning vertigo.维生素 D 缺乏与良性阵发性位置性眩晕。
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Clinical features of benign paroxysmal positional vertigo.良性阵发性位置性眩晕的临床特征。
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