一项关于感染和未感染HIV的中年女性高血压与前庭疾病关系的回顾性研究。
A Retrospective Study of the Relationship Between Hypertension and Vestibular Disorders in Middle-Aged Women With and Without HIV.
作者信息
Cohen Helen S, Plankey Michael W, Ware Deanna
机构信息
Otolaryngology - Head and Neck Surgery, Baylor College of Medicine, Houston, USA.
Medicine, Georgetown University Medical Center, Washington DC, USA.
出版信息
Cureus. 2023 Feb 14;15(2):e34988. doi: 10.7759/cureus.34988. eCollection 2023 Feb.
BACKGROUND
Patients often conflate the problem of lightheadedness from hypertension (HTN) and vertigo from a vestibular impairment, describing both problems as dizziness. The goal of the study was to learn if there is a relationship between measures of vestibular function and blood pressure.
METHODS
This retrospective study consisted of women who participated in a longitudinal study of the human immunodeficiency virus (HIV) and a control cohort of age-matched women without HIV. We used data from the point in time when participants were tested for vestibular functions with bi-thermal caloric tests and cervical vestibular evoked myogenic potentials; the data also included the blood pressure of the participants.
RESULTS
High odds ratios (1.48 to 2.05) suggest a relationship between HTN and vestibular impairment, although the sample size was too small to reach statistical significance.
CONCLUSION
The data suggest that high blood pressure may be related to vestibular impairments. Clinicians whose patients complain of vertigo and balance disorders consistent with vestibular impairments should consider blood pressure as a related problem during the initial visit.
背景
患者常常将高血压引起的头晕问题与前庭功能障碍引起的眩晕混为一谈，将这两个问题都描述为头晕。本研究的目的是了解前庭功能测量值与血压之间是否存在关联。
方法
这项回顾性研究包括参与人类免疫缺陷病毒（HIV）纵向研究的女性以及年龄匹配的无HIV女性对照队列。我们使用了参与者接受双温冷热试验和颈前庭诱发肌源性电位进行前庭功能测试时的数据；这些数据还包括参与者的血压。
结果
高比值比（1.48至2.05）表明高血压与前庭功能障碍之间存在关联，尽管样本量太小，无法达到统计学显著性。
结论
数据表明高血压可能与前庭功能障碍有关。对于那些患者抱怨有与前庭功能障碍相符的眩晕和平衡障碍的临床医生，在初次就诊时应将血压视为一个相关问题。
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