良性发性定位,没有头,是常见的人呈现下跌诊所的临床
Susan Hyland1,2, Lyndon J Hawke1,3, Nicholas F Taylor1,3
1Allied Health Clinical Research Office and Angliss Hospital Falls and Balance Clinic Eastern Health, Melbourne, Australia.
Disability and rehabilitation
|February 24, 2024
概括
良性发性位置性 (BPPV) 是老年人跌的常见原因之一. 强制性测试至关重要,因为26%的阳性病例没有头,可能会错过,影响跌倒风险评估.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 良性发性位置性 (BPPV) 是导致跌倒风险的重要因素,特别是在参加专门诊所的老年人中.
- 识别BPPV对于实施及时有效的干预措施以减轻跌倒相关伤害至关重要.
研究的目的:
- 确定BPPV的流行率在向门诊病诊所的个人中.
- 具体确定没有的标志性症状的BPPV病例的比例.
主要方法:
- 两家病诊所六年来对618名患有跌风险的患者进行了回顾性分析.
- 收集的数据包括患者人口统计学,BPPV通道参与和并发症,不论头是否存在都被评估.
主要成果:
- 39% (238/618) 的患者检测出BPPV.阳性.
- 26% (62/238) 的BPPV患者没有报告头,这意味着诊断不足的风险很大.
- 在18%的阳性病例中观察到多个半圆通道干涉.
结论:
- 在跌倒诊所的人群中,BPPV的流行率很高,并且代表了一个关键的,可治疗的跌倒风险因素.
- 很大一部分BPPV患者没有症状的头,这强调了需要进行系统的,非症状导向的测试.
- 综合性BPPV评估应包括所有半圆形通道,因为频繁的多通道参与.
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