Volume 22 Issue 4
Apr.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(4): 559-561
LIU Bin, XU Xiaotian, FU Xuetao, WANG Yingge, LIU Yufei, TANG Tieyu. Analysis of factors affecting recurrence in patients with benign paroxysmal positional vertigo after manual repositioning[J]. Chinese Journal of General Practice, 2024, 22(4): 559-561. doi: 10.16766/j.cnki.issn.1674-4152.003449
Citation: LIU Bin, XU Xiaotian, FU Xuetao, WANG Yingge, LIU Yufei, TANG Tieyu. Analysis of factors affecting recurrence in patients with benign paroxysmal positional vertigo after manual repositioning[J]. Chinese Journal of General Practice, 2024, 22(4): 559-561. doi: 10.16766/j.cnki.issn.1674-4152.003449
shu

Analysis of factors affecting recurrence in patients with benign paroxysmal positional vertigo after manual repositioning

doi: 10.16766/j.cnki.issn.1674-4152.003449
  • 1.

    Department of Neurology, Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu 225001, China

Funds:

 81901084

  • Received Date: 2023-10-19
    Available Online: 2024-05-29
    Abstract
  •   Objective  This study aims to analyze the factors influencing the recurrence of benign paroxysmal positional vertigo (BPPV) following manual repositioning, revealing potential risk factors for BPPV recurrence, and providing a theoretical basis for reducing the recurrence rate.  Methods  A total of 170 patients diagnosed with and cured for BPPV at the Neurology Department of Affiliated Hospital of Yangzhou University between January 2020 and December 2021 were selected in this study. A 2-year follow-up was conducted, and the patients were divided into the recurrence group (n=70) and non-recurrence group (n=100) based on recurrence status. Patient data were collected and logistic regression analysis was performed to identify risk factors associated with BPPV recurrence.  Results  Among the 70 recurrent patients, 39 experienced a single recurrence, while 27 encountered two recurrences, and 4 had three or more recurrences. Logistic regression analysis showed that female (OR=11.623, 95% CI: 4.104-20.634, P < 0.001), anxiety (OR=4.200, 95% CI: 1.186-14.873, P=0.026), fatigue (OR=5.025, 95% CI: 1.771-14.255, P=0.002), sleep disorder (OR=4.080, 95% CI: 1.152-14.447, P=0.002), trauma (OR=4.802, 95% CI: 1.692-13.622, P=0.023) and comorbid hypertension (OR=4.938, 95% CI: 1.740-14.009, P < 0.001) were risk factors for recurrence in BPPV patients, and diabetes, family history and smoking history were not significantly correlated with the presence or absence of recurrence.  Conclusion  Gender, anxiety, fatigue, sleep disorders, trauma, and hypertension were the influencing factors contributing to the recurrence of BPPV. These findings offer more targeted insights for the management and prevention of BPPV recurrence.

     

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