不同军事训练项目引发BPPV半规管类型、治疗及复发的临床对比OA
Clinical comparison of semicircular canal types,treatment and recurrence of BPPV triggered by different training programs
目的 探讨不同军事训练项目所导致的良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)的半规管类型、首次治疗效果及治愈后复发的差异性.方法 纳入联勤保障部队第九八九医院于2022年6月至2024年6月确诊的因训练所致的213例BPPV患者,其中男性176例,女性37例,年龄19～42岁,平均年龄(31.40±6.40)岁.采用SRM-Ⅳ型前庭功能诊疗系统进行复位治疗,治疗后2周、2个月、4个月、6个月定期随访,统计首次治疗有效的患者例数和随访中复发的患者例数.结果 213例患者中以常规训练项目为主21例,其中后半规管13例,水平半规管6例,多半规管2例,首次治疗有效19例,有效率90.5%,复发2例(9.5%).常规训练项目增加爆震类训练133例,其中后半规管81例,水平半规管34例,前半规管1例,多半规管17例,首次治疗有效114例,有效率85.7%,复发31例(23.3%).常规训练项目增加搏击类训练59例,其中后半规管26例,水平半规管10例,前半规管2例,多半规管21例,首次治疗有效50例,有效率84.7%,复发21例(35.6%).相较于其他人群,军事训练人员患BPPV后的首次治疗有效率较高,复发率较低,且不同类训练项目所致BPPV的复发率存在差异(P<0.05).结论 军事训练所致BPPV患者的首次治疗有效例数和不同类训练项目无关,所致半规管类型和复发与不同类训练项目有关.
Objective To report semicircular canals involved,initial treatment efficacy and recurrence of benign paroxysmal positional vertigo(BPPV)associated with different military training programs.Methods Subjects included 213 patients(176 males and 37 females,aged 19 to 42 years[mean=31.40±6.40 years])with BPPV diagnosed from June 2022 to June 2024 at the 989th Hospital of the Joint Logistics Support Force,which occurred during training.The SRM-Ⅳ vestibular function diagnosis and treatment system was used for reduction therapy,with follow-ups at 2 weeks,2 months,4 months,and 6 months to assess efficacy of the initial and relapses.Results Among the 213 cases,BPPV occurred during conventional training programs in 21,involving the posterior semicircular canal in 13,horizontal semicircular canal in 6,and more than one semicircular canal in 2.Nineteen patients(90.5%)improved after initial treatment,with two relapsed(9.5%).BPPV occurred during conventional training combined with blast exposure in 133 cases,involving the posterior semicircular canal in 81 cases,horizontal semicircular canal in 34 cases,anterior semicircular canal in 1 case,and more than one semicircular canal in 17 cases.Initial treatments were effective in 114 cases(85.7%),with 31 relapses(23.3%).In 59 cases,BPPV occurred during conventional training program plus hand-to-hand combat training,involving the posterior semicircular canal in 26 cases,horizontal semicircular canal in 10 cases,anterior semicircular canal in 2 cases,and more than one semicircular canal in 21 cases.Favorable response to initial therapeutic maneuvers was observed in 50 cases(84.7%),with relapses in 21 cases(35.6%).Compared to other populations,military personnel exhibit better responses to the initial treatments for military training associated BPPV independent of training programs,with less recurrence which can vary with different training programs.Conclusions The number of effective cases for the first treatment of BPPV patients caused by military training is not related to the different types of training programs.The type of semicircular canal involved and recurrence are related to different types of training programs.
周冬晓;闫沛沛;周立辉
解放军联勤保障部队第九八九医院,河南 洛阳 471003解放军联勤保障部队第九八九医院,河南 洛阳 471003解放军联勤保障部队第九八九医院,河南 洛阳 471003
良性阵发性位置性眩晕军事训练复发
benign paroxysmal positional vertigomilitary trainingrecurrence
《中华耳科学杂志》 2026 (6)
504-507,4
联勤保障部队第九八九医院院内课题(9892023YNKT-16B)
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