血管危险因素对老年人良性阵发性位置性眩晕发病的影响

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摘要目的分析心血管危险因素（CVRFs）对老年人良性阵发性位置性眩晕（BPPV）的影响。方法选取2018年10月至2020年10月八里庄社区卫生服务中心全科的34 例BPPV 老年患者作为试验组，选取同期与试验组年龄、性别相匹配，到健康体检科参加健康体检无BPPV 病史的34 例老年人作为对照组。比较两组的7 个CVRFs 指标，包括体重指数（BMI）、血压、血糖、总胆固醇（TC）、甘油三酯（TG）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）以及2 个颈动脉超声诊断指标[内中膜厚度（IMT）和粥样斑块]。结果两组的CVRFs 和颈动脉粥样斑块发生率比较，差异无统计学意义（P＞0.05）。 BPPV 组的颈动脉IMT 严重程度高于对照组，差异有统计学意义（P＜0.05）。结论 CVRFs 和颈动脉粥样斑块并非老年人BPPV 发病的危险因素，而颈动脉IMT 可作为老年性BPPV 风险评估和预警的参考指标。

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	冯英秋
	周妮娜
	刘清莲
	金占国

关键词 ：良性阵发性位置性眩晕, 心血管危险因素, 内中膜厚度, 老年

Abstract：Objective To analyze the effect of cardiovascular risk factors (CVRFs) on benign paroxysmal positional vertigo (BPPV) in the elderly. Methods A total of 34 elderly patients with BPPV in the General Department of Balizhuang Community Health Service Center from October 2018 to October 2020 were selected as the experimental group. During the same period, 34 elderly people who matched the age and gender of the experimental group and took physical examination in the Physical Examination Department in the same period, and had no history of BPPV were selected as the control group. Seven CVRFs indexes including body mass index (BMI), blood pressure, blood glucose, serum total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL-C) and high density lipoprotein cholesterol(HDL-C) as well as 2 carotid ultrasound diagnosis indexes including intima-media thickness (IMT) and atherosclerotic plaque were compared between two groups. Results There were no significant differences in CVRFs and incidence of carotid atherosclerotic plaque between the two group (P＞0.05). The severity of carotid IMT in the BPPV group was higher than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion CVRFs and carotid atherosclerotic plaque are not independent risk factors of BPPV in the elderly, and carotid IMT can be used as a reference index for risk assessment and early warning of senile BPPV.

Key words： Benign paroxysmal positional vertigo Cardiovascular risk factors Intima-media thickness Elderly

基金资助:军队后勤重点资助项目（BKJ19J020）。

引用本文:

冯英秋；周妮娜；刘清莲；金占国. 血管危险因素对老年人良性阵发性位置性眩晕发病的影响[J]. 中国当代医药, 2022, 29(15): 40-43.
FENG Yingqiu; ZHOU Nina; LIU Qinglian;JIN Zhanguo. Effect of vascular risk factors on the onset of benign paroxysmal positional vertigo in the elderly. 中国当代医药, 2022, 29(15): 40-43.

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[1]	Balatsouras DG，Koukoutsis G，Fassolis A，et al.Benign paroxysmal positional vertigo in the elderly：current insights[J].Clin Interv Aging，2018，13：2251-2266.
[2]	Horton WB，Barrett EJ.Microvascular Dysfunction in Diabetes Mellitus and Cardiometabolic Disease[J].Endocr Rev，2021，42（1）：29-55.
[3]	陈晓旭，金占国，徐先荣，等.不同年龄人群良性阵发性位置性眩晕复发的危险因素分析[J].空军医学杂志，2018，34（2）：123-126.
[4]	梁志承，赵强，李梦雪.超声IMT 及斑块指标与心血管疾病主要危险因素的相关性[J].影像科学与光化学，2020，38（2）：231-235.
[5]	中华医学会，中华医学会杂志社，中华医学会全科医学分会，等.高血压基层诊疗指南（实践版·2019）[J].中华全科医师杂志，2019，18（8）：723-731.
[6]	中华医学会，中华医学会杂志社，中华医学会全科医学分会，等.2 型糖尿病基层诊疗指南（实践版·2019）[J].中华全科医师杂志，2019，18（9）：810-818.
[7]	中华医学会，中华医学会杂志社，中华医学会全科医学分会，等.血脂异常基层诊疗指南（实践版·2019）[J].中华全科医师杂志，2019，18（5）：417-421.
[8]	华扬，惠品晶，邢瑛琦.中国脑卒中血管超声检查指导规范[J].中华医学超声杂志（电子版），2015，12（8）：599-610.
[9]	冯小智，常文雄，刘卫生.心血管危险因素对老年人群心血管功能及脑血管血流动力学指标的影响[J].北京医学，2019，41（5）：420-422.
[10]	Jagiela J，Bartnicki P，Rysz J.Selected cardiovascular risk factors in early stages of chronic kidney disease[J].Int Urol Nephrol，2020，52（2）：303-314.
[11]	Zafar A，Nazish S，Shahid R，et al.Influence of Sex Difference on Distribution of Risk Factors and Etiologic Subtypes of Acute Ischemic Stroke：Reality of Facts[J].Neurology India，2020，68（5）：1073-1078.
[12]	Cao Z，Zhao X，Ju Y，et al.Seasonality and Cardio-Cerebrovascular Risk Factors for Benign Paroxysmal Positional Vertigo[J].Front Neurol，2020，11：259.
[13]	D′Silva LJ，Staecker H，Lin J，et al.Otolith Dysfunction in Persons With Both Diabetes and Benign Paroxysmal Positional Vertigo[J].Otol Neurotol，2017，38（3）：379-385.
[14]	Singh JM，Corser WD，Monsell EM.Cardiovascular Risk Factors and Benign Paroxysmal Positional Vertigo in Community Otolaryngology-Head and Neck Surgery[J].Otolaryngol Head Neck Surg，2020，162（3）：283-289.
[18]	Padró T，Vilahur G，Badimon L.Dyslipidemias and Microcirculation[J].Curr Pharm Des，2018，24（25）：2921-2926.
[20]	吕肖玉，鞠奕，赵性泉.良性阵发性位置性眩晕发病与复发相关危险因素分析[J].中国卒中杂志，2017，12（6）：544-549.
[15]	Ogihara H，Kamo T，Tanaka R，et al.Factors affecting the outcomeofvestibularrehabilitationinpatientswithperipheral vestibular disorders[J].Auris nasus larynx，2022，S0385-8146（22）00067-0.
[16]	Müller-Scholden L，Kirchhof J，Morbach C，et al.Segmentspecific Association of carotid-intima-media thickness with cardiovascular risk factors-findings from the STAAB cohort study[J].BMC Cardiovasc Disord，2019，19（1）：84.
[17]	Sreenivas V，Sima NH，Philip S.The Role of Comorbidities in Benign Paroxysmal Positional Vertigo[J].Ear Nose Throat J，2021，100（5）：225-230.
[19]	Plescia F，Salvago P，Dispenza F，et al.Efficacy and Pharmacological Appropriateness of Cinnarizine and Dimenhydrinate in the Treatment of Vertigo and Related Symptoms[J].Int J Environ Res Public Health，2021，18（9）： 4787.