Does benign paroxysmal positional vertigo explain age and gender variation in patients with vertigo by mechanical assistance maneuvers?
Does benign paroxysmal positional vertigo explain age and gender variation in patients with vertigo by mechanical assistance maneuvers?
复制标题
良性阵发性位置性眩晕能否解释机械辅助眩晕患者的年龄和性别差异？
DOI：
10.1007/s10072-014-1822-5
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发表时间：
2014-11-01
影响因子：
3.3
通讯作者：
Richard-Vitton, Th
中科院分区：
文献类型：
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作者：
Wang, Jing;Chi, Fang-lu;Richard-Vitton, Th
良性阵发性位置性眩晕(BPPV)是最常见的外周前庭疾病之一。本研究的目的是探讨BPPV在眩晕患者中的患病率以及BPPV在机械辅助动作中的诊断和定位的特点，并分析和总结表现这些特点的原因。本研究共纳入726例眩晕患者。所有患者均由TRV扶手椅(SYNAPSYS，TRV型号，法国)检查。根据检查结果确定为BPPV患者。对比分析TRV扶手椅在诊断和治疗BPPV中的特点和结果。726例眩晕患者中确诊BPPV 209例，男58例，女151例，年龄16~87岁，平均(52.90±11.93)岁。男性和女性眩晕患者发生BPPV的比例差异有统计学意义(P=0.0233)，但各年龄组之间无差异(P=0.3201)。在209例BPPV患者中，208例通过TRV扶手椅进行了重新定位，在重新定位过程中无一例出现耳石碎屑移位到另一根管中。成功202例(97.12%)，有效6例(2.87%)。他们中没有一人失败。这项研究表明，BPPV是年轻眩晕患者最常见的疾病之一，就像老年人一样。女性好发于BPPV，好发部位为右后半规管(PC-BPPV)。使用机械辅助动作，重新定位的结果是完美的。
Benign paroxysmal positional vertigo (BPPV) is one of the most common peripheral vestibular diseases. The aim of this study was to explore the prevalence of BPPV in vertigo patients and the characteristics of BPPV in diagnosis and repositioning using mechanical assistance maneuvers and to analyze and summarize the reasons showing these characteristics. Seven hundred and twenty-six patients with vertigo were enrolled in this study. All patients were inspected by TRV armchair (SYNAPSYS, model TRV, France). BPPV patients were identified by the examination results. The characteristics and results using TRV armchair in diagnosis and treatment of BPPV were compared and analyzed. Of 726 vertigo patients, 209 BPPV patients were diagnosed, including 58 men and 151 women, aged from 16 to 87 (mean 52.90 ± 11.93) years. There were significant differences in the proportion of BPPV in male and female vertigo patients (P= 0.0233), but no differences among all age groups (P= 0.3201). Of 209 BPPV patients, 208 cases were repositioned by TRV armchair and no one appeared to have otolithic debris relocated into another canal in the repositioning procedures. 202 cases (97.12 %) were successful and six cases (2.87 %) were effective. None of them failed. This study suggests that BPPV is one of the most common diseases in the young vertigo patients, just like that in the old ones. Female of the species has predilection for BPPV and the site of predilection is the right posterior semicircular canals (PC-BPPV). The results of repositioning are perfect using mechanical assistance maneuvers.