目的 探讨军事训练伤所致良性阵发性位置性眩晕(BPPV)复位治疗后遗留症状及相关危险因素。方法 收集联勤保障部队第989医院眩晕门诊2019-01至2021-12确诊的因军事训练伤所致的196例BPPV患者,采用SRM-Ⅳ型诊疗系统进行复位治疗,收集复位治疗后遗留症状的发生率、临床特点及相关危险因素。结果 196例均成功复位,遗留症状的发生率为 31.1% ( 61 /196),其中头晕沉感占34.4%(21/61),活动时不稳感占27.9%(17/61),颈部发紧不适感占21.3%(13/61),躺在床上有漂浮感占8.2%(5/61),合并两种遗留症状者占4.9%(3/61),合并3种为1.6%(1/61),合并4种为1.6%(1/61)。遗留症状的发生与病史长短和复位次数有关,与性别、受累半规管类型无关。结论 训练伤所致BPPV复位成功后仍有头晕沉感、活动时不稳感、颈部发紧不适感等遗留症状,残留症状的发生与病程、复位次数有关,与性别、受累半规管类型无关。
Abstract
Objective To explore the residual symptoms and related risk factors of benign paroxysmal positional vertigo (BPPV) caused by military training injuries after reduction treatment.Methods A total of 196 patients with BPPV due to military training injuries diagnosed in the Vertigo Clinic of the 989 Hospital of the Joint Logistic Support Force from January 2019 to December 2021 were collected for reduction treatment using the SRM-Ⅳ diagnosis and treatment system. The incidence rate, clinical characteristics and related risk factors of residual symptoms after reduction treatment were collected.Results All the cases were successfully repositioned, and the incidence of residual symptoms was 31.1% (61/196), including 34.4%(21/61) of dizziness, 27.9% (17/61) of instability during activity, 21.3% (13/61) of neck tightness and discomfort, 8.2% (5/61) of floating feeling in bed, 4.9% (3/61) of two residual symptoms, 1.6% (1/61) of three and 1.6% (1/61) of four. The occurrence of residual symptoms was related with the length of medical history and the number of reduction, but not with gender and the type of semicircular canal involved.Conclusions After the successful reduction of BPPV caused by training injuries, there are still some residual symptoms, such as dizziness, instability during activity, neck tightness discomfort, etc. The occurrence of residual symptoms is related with the course of the disease and the number of reduction, but has nothing to do with gender and the type of semicircular canal involved.
关键词
训练伤 /
良性阵发性位置性眩晕 /
遗留症状
Key words
training injury /
benign paroxysmal positional vertigo /
residual symptoms
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