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良性阵发性位置性眩晕和梅尼埃病对认知能力的影响:一项基于问卷的研究。

Influence of BPPV and Meniere's Disease on Cognitive Abilities: A Questionnaire-Based Study.

作者信息

Bhattacharyya Rohit, Barman Animesh, Antony Freddy

机构信息

All India Institute of Speech and Hearing, Mysore, Mysuru, India.

出版信息

J Otol. 2024 Jan;19(1):10-18. doi: 10.1016/j.joto.2023.11.001. Epub 2023 Nov 21.

Abstract

The vestibular system connects the inner ear to the midbrain and subcortical structures and can affect cognition. Patients with vertigo often experience cognitive symptoms such as attention deficits, memory problems, and spatial perception difficulties. This study aimed to explore the cognitive impairments associated with Benign paroxysmal positional vertigo (BPPV) and Meniere's Disease (MD). A non-experimental group comparison design was used with 107 participants divided into three groups: Group I (clinically normal), Group II (BPPV), and Group III (MD). Participants completed a questionnaire with 10 cognition-related questions, and their responses were scored. The data were found to be non-normally distributed. The analysis revealed a significant difference in scores between Group I and both Group II and Group III. Chi-square tests showed that the responses to cognition-related questions varied among the groups, with Group II exhibiting more cognitive problems. Associated conditions like hypertension, diabetes, and hearing loss did not significantly influence the responses within each group. This study suggests a significant relationship between cognitive problems and patients with BPPV and MD. However, there was no association found between the cognitive problems experienced in BPPV and MD patients. These findings align with previous research indicating that vestibular disorders can lead to deficits in spatial memory, attention, and other cognitive functions. By understanding the link between cognition and vestibular disorders, we can improve diagnosis and rehabilitation services to enhance the quality of life for these patients.

摘要

前庭系统将内耳与中脑及皮质下结构相连,且会影响认知。眩晕患者常出现认知症状,如注意力缺陷、记忆问题和空间感知困难。本研究旨在探讨与良性阵发性位置性眩晕(BPPV)和梅尼埃病(MD)相关的认知障碍。采用非实验性组间比较设计,107名参与者被分为三组:第一组(临床正常)、第二组(BPPV)和第三组(MD)。参与者完成了一份包含10个与认知相关问题的问卷,并对他们的回答进行评分。发现数据呈非正态分布。分析显示第一组与第二组和第三组的得分存在显著差异。卡方检验表明,各组对认知相关问题的回答各不相同,第二组表现出更多认知问题。高血压、糖尿病和听力损失等相关病症并未对每组内的回答产生显著影响。本研究表明认知问题与BPPV和MD患者之间存在显著关系。然而,未发现BPPV和MD患者所经历的认知问题之间存在关联。这些发现与先前的研究一致,表明前庭障碍可导致空间记忆、注意力和其他认知功能的缺陷。通过了解认知与前庭障碍之间的联系,我们可以改善诊断和康复服务,以提高这些患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a643/10837562/a6ff53faf878/gr1.jpg

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