METHODS: Five hundred and twelve OSA patients and 53 controls were enroled. All eligible subjects were asked to complete the basic information questionnaire, the Chinese version of Vestibular Disorders Activities of Daily Living (VADL-C), the Dizziness Handicap Inventory (DHI) and the Activities-Specific Balance Confidence (ABC) scale.
RESULTS: Among 512 enroled OSA patients, a 22.46% (115) prevalence of vertigo and dizziness was found. The scores of the VADL-C, DHI and ABC of the study group were significantly worse (p < .001) than those of the control group, while the abnormal rates of the three scales in the study group were higher than those of the control group. In the study group, the results of the VADL-C were correlated with those of the DHI (r = .55, p < .001) and inversely correlated with those of the ABC (r = -.50, p < .001), and the results of the DHI were inversely correlated with those of the ABC (r = -.60, p < .001).
CONCLUSIONS: A high prevalence of vertigo and dizziness in the OSA population was detected. Psychometric results showed that vertigo and dizziness in OSA patients led to changes in activities of daily living, increased frequency of somatic symptoms, and reduced balance confidence. In the diagnosis and treatment of OSA patients, the occurrence of vertigo and dizziness is worth clinicians\' attention.
方法:纳入了112例OSA患者和53例对照。所有符合条件的受试者都被要求填写基本信息问卷,中国版的前庭障碍日常生活活动(VADL-C),头晕障碍量表(DHI)和特定活动平衡信心量表(ABC)。
结果:在512名OSA患者中,发现有22.46%(115)的眩晕和头晕患病率。VADL-C的分数,研究组的DHI和ABC显著低于对照组(p<.001),3个量表的异常率研究组高于对照组。在研究小组中,VADL-C的结果与DHI的结果相关(r=.55,p<.001),与ABC的结果负相关(r=-.50,p<.001),DHI的结果与ABC的结果呈负相关(r=-.60,p<.001)。
结论:在OSA人群中发现眩晕和头晕的患病率很高。心理测量结果显示OSA患者的眩晕和头晕导致日常生活活动的改变,躯体症状的频率增加,和降低平衡信心。在OSA患者的诊断和治疗中,眩晕和头晕的发生值得临床医生注意。