异型症状和延迟诊断在患有良性性定位的老年患者中更为常见:单中心研究
Hongyan Li1,2, Yanping Tong3, Yan Wang2,4
1Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Frontiers in neurology
|May 9, 2025
概括
老年患者患有良性性发性位置性 (BPPV) 通常会出现不典型的症状和延迟诊断. 这项研究突出了BPPV老年人的关键临床差异,有助于准确和及时的识别.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 老年病的医生 老年病的医生
背景情况:
- 良性发性位置性 (BPPV) 是的常见原因,特别是在老年人中.
- 了解老年人BPPV的特定临床特征对于有效的诊断和管理至关重要.
研究的目的:
- 分析诊断为BPPV的老年患者的临床特征.
- 为了确定与年轻人相比,老年BPPV患者的风险因素,临床表现和诊断延迟.
主要方法:
- 一项追溯病例控制研究,涉及12,282名在2020年1月至2024年6月期间接受治疗的BPPV患者.
- 患者被分为一个老年人群 (≥65岁) 和一个年轻人群 (<65岁).
- 两组之间风险因素,临床症状和诊断时间的比较.
主要成果:
- 老年BPPV患者的水平半圆通道干扰和动脉样硬化相关风险因素的发病率较高.
- 在老年人中,不典型的症状,更长时间的头发作以及伴随着的耳/听力损失更为频繁.
- 老年患者的位置诱导性发作较少,症状发作到诊断的持续时间明显较长,诊断延迟率更高.
结论:
- 患有BPPV的老年人呈现出明显的临床特征,包括不典型的症状和更高的伴随性疾病的可能性.
- 延迟诊断是老年BPPV患者的一个重要问题,需要提高临床意识.
- 这些发现为改善老年人群中BPPV的准确和及时诊断提供了基础.
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