神经内科良性阵发性位置性眩晕临床特点分析

Clinical characteristics analysis on benign paroxysmal positional vertigo in patients from department of neurology

摘要:

目的 分析良性阵发性位置性眩晕（BPPV）患者发病的季节特点及人群分布特点、受累半规管特点、起病时间特点等，为其防治提供更多依据和策略。方法 回顾性分析2018年1—12月湘潭市中心医院神经内科确诊BPPV患者671例，其中住院202例，门诊469例，总结患者的发病的季节、人群分布特点、受累半规管特点及起病时间特点。结果 BPPV全年可发病，3月占比最高（11.3%），10月最低（6.0%），女性占69.7%，51~70岁占55.6%，后半规管BPPV患者占70.7%，右侧半规管较左侧半规管易受累，对明确记录发病时间的68例住院患者分析显示夜间和晨起起病患者占85.3%。结论 BPPV发病可能存在季节性，51~70岁为发病高峰，女性多发，右侧半规管多发，后半规管多发，夜间和晨起多发。

Abstract:

Objective To analyze the characteristics of onset season, population distribution, semicircular canal involvement and onset time of benign paroxysmal positional vertigo (BPPV) in patients from department of neurology, so as to provide more evidences and strategies for its prevention and treatment. Methods A total of 671 patients with BPPV were enrolled in the Department of Neurology of Xiangtan Central Hospital from Jan 2018 to Dec 2018. Of them, 202 were inpatients and 469 were outpatients. Results BPPV could occur throughout the year with the highest incidence in March (11.3%) and the lowest in Oct (6.0%). Female patients accounted for 69.7%, the patients with age range of 51~70 years old accounted for 55.6%, and those with posterior semicircular canal BPPV accounted for 70.7%. The right semicircular canal was more easily involved than the left semicircular canal. The analysis of 68 inpatients with clearly recorded onset time showed that patients with onset at night and in the morning accounted for 85.3%. Conclusion The incidence of BPPV has seasonal variation, and the peak age of onset is between 51 and 70 years old. Women, right semicircular canal, posterior semicircular canal are more likely to be involved. Patients are more likely to get sick at night and in the morning.