儿童复发性眩晕患者连续睡眠脉搏氧监测分析

Analysis of continuous sleep pulse oxygen saturation monitoring in children with recurrent vertigo

摘要:

目的 对儿童复发性眩晕(RVC)患者进行连续睡眠脉搏氧监测，观察其睡眠血氧饱和度(SpO₂)情况，探讨连续睡眠脉搏氧监测在诊断RVC中的临床价值。方法 根据RVC诊断标准，选取RVC患儿 50例作为RVC组，非RVC 20例作为对照组。RVC组根据2周内眩晕是否反复发作分为眩晕发作组(29例)和眩晕不发作组(21例)；根据眩晕问卷调查评分将RVC组按照严重程度分为轻、中、重3组。所有入组患儿均行连续睡眠脉搏氧监测，分析RVC患儿及对照组之间连续睡眠脉搏氧特征性差异。结果 ①RVC组中睡眠脉搏氧异常率为46.0%(23/50)，正常对照组睡眠脉搏氧异常率为5.0%(1/20)，两组差异具有统计学意义(P<0.05)。②眩晕发作组脉搏氧异常率65.5% (19/29)，眩晕不发作组脉搏氧异常率19.0%(4/21)，眩晕发作组脉搏氧异常率高于眩晕不发作组，两组差异具有统计学意义(P<0.05)。③眩晕发作组、眩晕不发作组及对照组的平均SpO₂和最低SpO₂ 差异均具有统计学意义(P<0.05)。④轻度组、中度组、重度组RVC与对照组的平均SpO₂和最低SpO₂ 差异均具有统计学意义 (P<0.05)。结论 连续睡眠脉搏氧与RVC、尤其是眩晕发作期的RVC具有一定的相关性，还与疾病严重程度有关。临床上，睡眠脉搏氧监测为无创，操作简单、易行，可作为诊断RVC的辅助检查之一，具有一定的临床意义。

关键词:复发性眩晕;良性阵发性眩晕;儿童;睡眠脉搏氧

Abstract:

Objective To investigate the clinical value of continuous sleep pulse oxygen saturation (SpO₂) monitoring in the diagnosis of recurrent vertigo of children (RVC) via observation of their sleep SpO₂. Methods Fifty children with RVC and 20 without RVC were selected. The children of RVC group were subdivided into vertigo attack group (n=29) and non-vertigo attack group (n=21) according to whether vertigo occurred repeatedly within 2 weeks, and subdivided into mild, moderate and severe groups based on vertigo questionnaire results. All children underwent continuous sleep SpO₂ monitoring, and the characteristic differences of continuous sleep SpO₂ between the RVC group and the control group were analyzed. Results ①The abnormal rates of sleep SpO₂ in the RVC group and the control group were 46.0% (23/50) and 5.0% (1/20), and the difference was statistically significant (P<0.05). ②The abnormal rates of SpO₂ in the vertigo attack and non-attack groups were 65.5% (19/29) and 19.0% (4/21), and the difference was also statistically significant (P<0.05). ③ There were significant differences in the average SpO₂ and the lowest SpO₂ among the vertigo attack group, the vertigo non-attack group and the control group (P<0.05). ④The differences were statistically significant in the average SpO₂ and lowest SpO₂ among the mild, moderate, severe RVC groups and the control group (P<0.05). Conclusion Continuous sleep SpO₂ has a certain correlation with RVC, especially during the attack of vertigo, and also has a relationship with the severity of the disease. Sleep SpO₂ monitoring is non-invasive, simple and easy to operate, and can be used as one of the auxiliary examinations for the diagnosis of RVC, which has certain clinical significance.

Key words:Recurrent vertigo;Benign paroxysmal vertigo;Children;Sleep pulse oxygen