在老年人中,良性发性位置性的临床特征
Ran Zhou1, Huan Wang2, Jiachen Shan3
1Department of Anesthesiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Frontiers in neurology
|July 1, 2025
概括
患有良性性发性位置性 (BPPV) 的老年患者在日常生活中经历了更大的影响,包括更高的跌倒率和更低的生活质量得分. 这凸显了为患有BPPV的老年人制定量身定制的管理策略的需要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 老年病的医生 老年病的医生
背景情况:
- 良性发性位置性 (BPPV) 是常见的,在老年人群中患病率越来越高.
- 诊断方面的进步和人口老龄化需要了解老年人中的BPPV.
研究的目的:
- 为了比较中年患者的临床特征,治疗结果和预后,与被诊断患有BPPV的老年患者相比.
- 调查年龄对BPPV严重程度和患者报告结果的影响.
主要方法:
- 患者被分为两组:中年BPPV (50-59岁) 和老年BPPV (60-80岁).
- 分析了临床数据,包括BPPV的位置,治疗成功和问卷分数 (DHI,BBS),并将其与各组进行了比较.
主要成果:
- 与中年患者相比,老年BPPV患者报告的头障碍清单 (DHI) 得分 (表明更大的残疾) 显著更高 (24对16,p=0.008).
- 老年人群呈现较低的伯格平衡量 (BBS) 评分 (44比49,p=0.019) 和较高的跌倒率 (6.9%比0%).
- 发病时的年龄与DHI得分正相关 (r=0.316,p=0.005),与BBS得分负相关 (r=-0.330,p=0.002).
结论:
- 与中年人相比,患有BPPV的老年患者在日常生活中面临的负面影响更大.
- 研究结果表明,老年BPPV患者的跌倒风险增加和生活质量降低,强调需要针对年龄特定的护理.
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