良性阵发性位置性眩晕伴幽闭恐惧症患者临床特征及诊疗体会

Clinical characteristics, diagnosis and treatment of benign paroxysmal positional vertigo with claustrophobia

摘要:

目的 分析良性阵发性位置性眩晕(BPPV)伴幽闭恐惧症患者临床特征，探讨临床诊断治疗的注意事项。方法 回顾性研究48例BPPV伴幽闭恐惧症患者临床资料，对患者一般情况、检查方法、检查次数、治疗次数、疗效、复发率、心理状态及生活质量改善程度进行分析，并与同期50例原发性BPPV患者进行比较。结果 两组患者的总有效率、平均治疗次数、复发率和生活质量得到改善情况差异无统计学意义(P>0.05)，两组患者的首次检查确诊率(P=0.019)、社会活动恢复情况(P=0.000)有显著性差异。结论 对于BPPV伴幽闭恐惧症患者，临床建议给予多次裸眼检查或多次复诊观察眼震以明确诊断。BPPV伴幽闭恐惧症患者经治疗后生活质量改善情况好，但幽闭恐惧症患者在治疗后参与社会活动方面受影响，需要给予关注。

关键词:良性阵发性位置性眩晕;眩晕;眼震;幽闭恐惧症

Abstract:

Objective To analyze the clinical characteristics of benign paroxysmal positional vertigo (BPPV) patients with claustrophobia, and to explore the precautions for diagnosis and treatment.Methods Clinical data of 48 BPPV patients with claustrophobia were retrospectively studied, and their general conditions, examination methods, examination times, treatment times, curative effect, recurrence rate, psychological state, and improvement of life quality were compared with those of 50 idiopathic BPPV patients.Results The differences of total effective rate, the average number of treatment, the recurrence rate and the improvement of the quality of life between the two groups were statistically insignificant (P>0.05). There were differences in the diagnosis rate at the first examination (P=0.019) and the recovery of social activities (P=0.000) between the two groups.Conclusion For patients with BPPV and claustrophobia, it is recommended to check with the naked visions multiple times or follow-up visits to observe nystagmus for diagnosis. BPPV patients with claustrophobia have good curative effect and improved quality of life. However, what needs attention is that BPPV patients with claustrophobia may be affected in social activities after treatment.

Key words:Benign paroxysmal positional vertigo;Vertigo;Nystagmus;Claustrophobia