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在良性发性位置性患者中复发的风险因素和预测性名录图的构建

¹Ya'an Hospital of Traditional Chinese Medicine, Ya'an, China.

|September 17, 2025

概括

良性发性位置性 (BPPV) 的复发与失眠,抑郁,高血压,糖尿病和高脂血症有关. 一个新的预测模型有助于识别患有BPPV复发高风险的患者.

科学领域:

神经学神经学
耳鼻喉科耳鼻喉科耳鼻喉科
医疗信息学医疗信息学

背景情况:

良性性发性位置性 (BPPV) 是一种常见的前体障碍.
在患者管理方面,BPPV的复发构成了重大挑战.
确定BPPV复发的预测因素对于主动干预至关重要.

研究的目的:

调查与BPPV复发相关的因素.
建立和验证BPPV复发的预测模型.
帮助临床医生识别高风险个体,以便及时干预.

主要方法:

对276名BPPV患者的回顾性研究 (2022年1月 - 2024年12月).
单变量和多因素后勤回归分析以确定风险因素.
用于可视化预测模型的nomogram构造.
使用Bootstrap进行内部验证和10倍交叉验证.
通过ROC曲线,AUC,Hosmer-Lemeshow测试,校准图和决策曲线进行性能评估.

主要成果:

6个月内整体复发率为25.36% (共276名患者中的70人).
确定了5个独立的复发风险因素:失眠 (OR=3.593),抑郁状态 (OR=3.800),高血压 (OR=4.315),糖尿病 (OR=3.216),以及高脂血症 (OR=3.912).
预测模型表现出良好的区分能力,适合性和稳定的性能.

结论:

BPPV复发与失眠,抑郁状态,高血压,糖尿病和高脂血症显著相关.
开发的预测模型提供了良好的准确性和临床实用性.
这个工具可以帮助临床医生在高风险BPPV患者的积极管理和干预.

关键词:

这个名字是名ogramogram.复发性复发性复发性头 (vertigo) 是一种令人头的情况.

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