良性发性位置性的季节性和月度变化:系统性审查和元分析
Linlin Wang1,2, Haixia Wang3, Hui Pan1
1Department of Otorhinolaryngology-Head Neck Surgery, ENT Institute, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
概括
这项研究发现,良性发性位置性 (BPPV) 的发生率在冬季较高,在夏季较低. 这些季节性变化表明环境因素可能会影响BPPV的发生.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 流行病学 流行病学
- 环境健康 环境健康
背景情况:
- 良性发性位置性 (BPPV) 发病率的季节性变化受到争议,之前的研究中发现的结果不一致.
- 了解对BPPV的潜在环境影响对于公共卫生战略至关重要.
研究的目的:
- 系统地审查和分析现有文献,以确定BPPV是否表现出显著的季节性变化.
- 为提供每月和季节性BPPV发病率的综合分析.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane,Web of Science,CNKI) 进行了全面的文献搜索,截至2024年8月.
- 随机效应建模用于汇集发病率并计算季节性比较的风险比率 (RRs).
- 这项元分析被注册为PROSPERO (CRD42024583513).
主要成果:
- 包括10项涉及5063名受试者的研究.
- BPPV发病率在冬季达到顶峰 (28%) 在夏季最低 (21%).
- 每月发病率在12月 (12.6%) 最高,在7月 (7.4%) 最低,冬季与夏季和春季与夏季的RR显著.
结论:
- 分析表明,BPPV发病率可能具有季节性模式.
- 环境因素可能在BPPV病理生理学中发挥作用,需要进一步调查.
- 建议进行更大规模的多中心队列研究,以验证这些季节性关联.
相关概念视频
Equilibrium and Balance
4.2K
The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
4.2K
The Vestibular System
38.8K
The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.
38.8K
Alterations in Blood Pressure
1.2K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.2K
Patterns of Fever
2.2K
Before understanding the types and patterns of fever, it is essential to know its phases.
2.2K
Measurement of Blood Pressure
610
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
610
Bipolar Disorder
29
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
29


