Thomas Ron Jacob, Goutham M K, Bhat Vadisha Srinivas, Kamath Shrinath D, Aroor Rajeshwary, Bhandary Satheesh Kumar
Department of Otorhinolaryngology, K S Hegde Medical Academy, Nitte (Deemed to be University), Mangalore, Karnataka, India.
Int Arch Otorhinolaryngol. 2021 Nov 3;26(3):e365-e369. doi: 10.1055/s-0041-1724093. eCollection 2022 Jul.
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).
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)。