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阻塞性睡眠呼吸暂停患者眩晕和头晕的患病率调查及心理测量:一项横断面研究。

Prevalence survey and psychometric measurement of vertigo and dizziness in individuals with obstructive sleep apnoea: A cross-sectional study.

作者信息

Xu Xin-Da, Luo Hui-Ping, Yu Jing, Gao Na

机构信息

ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China.

NHC Key Laboratory of Hearing Medicine Research (Fudan University), Shanghai, China.

出版信息

Clin Otolaryngol. 2024 Sep;49(5):633-639. doi: 10.1111/coa.14189. Epub 2024 May 31.

Abstract

INTRODUCTION

This study aimed to evaluate the prevalence and psychometric properties of vertigo and dizziness in an obstructive sleep apnoea (OSA) population.

METHODS

Five hundred and twelve OSA patients and 53 controls were enroled. All eligible subjects were asked to complete the basic information questionnaire, the Chinese version of Vestibular Disorders Activities of Daily Living (VADL-C), the Dizziness Handicap Inventory (DHI) and the Activities-Specific Balance Confidence (ABC) scale.

RESULTS

Among 512 enroled OSA patients, a 22.46% (115) prevalence of vertigo and dizziness was found. The scores of the VADL-C, DHI and ABC of the study group were significantly worse (p < .001) than those of the control group, while the abnormal rates of the three scales in the study group were higher than those of the control group. In the study group, the results of the VADL-C were correlated with those of the DHI (r = .55, p < .001) and inversely correlated with those of the ABC (r = -.50, p < .001), and the results of the DHI were inversely correlated with those of the ABC (r = -.60, p < .001).

CONCLUSIONS

A high prevalence of vertigo and dizziness in the OSA population was detected. Psychometric results showed that vertigo and dizziness in OSA patients led to changes in activities of daily living, increased frequency of somatic symptoms, and reduced balance confidence. In the diagnosis and treatment of OSA patients, the occurrence of vertigo and dizziness is worth clinicians' attention.

摘要

引言

本研究旨在评估阻塞性睡眠呼吸暂停(OSA)人群中眩晕和头晕的患病率及心理测量特性。

方法

招募了512名OSA患者和53名对照者。所有符合条件的受试者均被要求完成基本信息问卷、中文版日常生活前庭功能障碍量表(VADL-C)、头晕残障量表(DHI)和特定活动平衡信心量表(ABC)。

结果

在512名入选的OSA患者中,发现眩晕和头晕的患病率为22.46%(115例)。研究组的VADL-C、DHI和ABC评分显著低于对照组(p < 0.001),而研究组中这三个量表的异常率高于对照组。在研究组中,VADL-C的结果与DHI的结果呈正相关(r = 0.55,p < 0.001),与ABC的结果呈负相关(r = -0.50,p < 0.001),DHI的结果与ABC的结果呈负相关(r = -0.60,p < 0.001)。

结论

检测到OSA人群中眩晕和头晕的患病率较高。心理测量结果表明,OSA患者的眩晕和头晕导致日常生活活动发生变化、躯体症状频率增加以及平衡信心降低。在OSA患者的诊断和治疗中,眩晕和头晕的发生值得临床医生关注。

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