Impact of sleep quality on effectiveness of repositioning therapy for patients with posterior canal benign paroxysmal positional vertigo.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-09-10 DOI:10.1017/S0022215125102971

Wenting Wang, Rui Han, Sai Zhang, Shuangmei Yan, Ting Zhang, Yongci Hao, Dong Li, Shaona Liu, Peifan Xie, Chuangwei Wang, Xu Yang, Ping Gu

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Abstract

Objective: This study aimed to explore clinical characteristics and treatment efficacy in patients with posterior canal benign paroxysmal positional vertigo and different sleep qualities.

Methods: Patients with posterior canal benign paroxysmal positional vertigo were divided into high and low sleep quality groups based on Pittsburgh Sleep Quality Index scores.

Results: No significant baseline differences existed between low (n = 53) and high (n = 39) sleep quality groups. However, the proportion of cupulolithiasis was higher in the low sleep quality group (60.38 per cent vs. 35.90 per cent; p < 0.05). Additionally, the low sleep quality group had a longer median duration of upbeat nystagmus during the Dix-Hallpike test (63.50 seconds vs. 26.80 seconds; p < 0.05) and a lower cured rate in initial repositioning (9.43 per cent vs. 56.41 per cent) compared to high sleep quality group. Repositioning therapy significantly improved depressive and anxiety symptoms in all patients with posterior canal benign paroxysmal positional vertigo, with a more pronounced improvement in depressive symptoms in the low sleep quality group.

Conclusion: Poor sleep quality is associated with higher cupulolithiasis prevalence and treatment resistance, with residual symptoms mainly affecting social functioning.

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睡眠质量对后管良性阵发性位置性眩晕患者复位治疗效果的影响。

目的：探讨不同睡眠质量的后管良性阵发性体位性眩晕患者的临床特点及治疗效果。方法：根据匹兹堡睡眠质量指数评分将后管良性阵发性体位性眩晕患者分为高、低睡眠质量组。结果：低睡眠质量组（n = 53）和高睡眠质量组（n = 39）之间无显著基线差异。而低睡眠质量组的毛囊结石比例更高（60.38%比35.90%,p < 0.05）。此外，与高质量睡眠组相比，低质量睡眠组在Dix-Hallpike测试中有更长的乐观眼震持续时间（63.50秒比26.80秒；p < 0.05）和更低的初始重新定位治除率（9.43%比56.41%）。重新定位治疗可显著改善所有后管良性阵发性体位性眩晕患者的抑郁和焦虑症状，睡眠质量低组抑郁症状改善更为明显。结论：睡眠质量差与高患病率和治疗抵抗有关，残余症状主要影响社会功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.