良性阵发性位置性眩晕患者维生素D状态及影响因素研究
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首都医科大学附属北京朝阳医院耳鼻咽喉头颈外科

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Study on vitamin D status and its influencing factors in patients with benign paroxysmal positional vertigo
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1.Department of Otorhinolaryngology Head &2.Neck Surgery, Beijing Chaoyang Hospital, Capital Medical University

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    目的 了解北京地区良性阵发性位置性眩晕(BPPV)患者维生素D水平状况,探讨性别、年龄、季节对维生素D水平的影响。方法 将2018年10月-2021年9月就诊于首都医科大学附属北京朝阳医院耳鼻咽喉头颈外科的208例BPPV患者作为研究对象进行回顾性研究。结果 所有BPPV患者血清25-羟维生素D(25(OH)D)水平为15.31(10.68, 21.03)ng/mL,其中维生素D缺乏、不足、正常比例分别为70.19%、19.71%、10.10%。比较不同性别、年龄和各个季节血清25(OH)D水平,男性高于女性,61~70岁年龄组高于其他年龄组;夏季血清25(OH)D水平最高,夏秋季明显高于冬春季。回归分析显示性别、年龄和季节均能影响维生素D水平。结论 北京地区BPPV患者维生素D缺乏较为普遍,性别、年龄和季节对维生素D水平有影响。

    Abstract:

    Objective The study aimed to investigate the situation of 25-hydroxy vitamin D [25(OH)D] levels in patients with benign paroxysmal positional vertigo (BPPV) and to explore the possible correlation between BPPV, gender, age, and seasonality as indicators of vitamin D level. Methods This retrospective study consisted of 208 patients with BPPV in Beijing Chaoyang Hospital from Oct 2018 to Sep 2021. Results The median serum 25(OH)D concentration was 15.31(10.68, 21.03)ng/mL. The percentage of vitamin D deficiency, insufficiency, and sufficiency were 70.19%, 19.71%, and 10.10%, respectively. The serum 25(OH)D level in male patients was higher than that in females, and it was higher in the 61-70 years old group than in other age groups. The serum 25(OH)D level was the highest in summer, and significantly higher in summer and autumn than in winter and spring. Multivariate regression analyses revealed that gender, age, and season were associated with serum 25(OH)D levels. Conclusions Our study showed that vitamin D deficiency is prevalent in BPPV patients in Beijing. Serum 25(OH)D levels may be affected by gender, age, and season.

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  • 收稿日期:2022-11-26
  • 最后修改日期:2023-01-11
  • 录用日期:2023-01-17
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