Meta-analysis of Influencing Factors of Residual Dizziness after Reduction of Benign Paroxysmal Positional Vertigo

SUN Mao-gang; WANG Jun-xin; ZHANG En-dong; SUN Yu-ning

doi:10.3969/j.issn.1672-4933.2026.04.014

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Meta-analysis of Influencing Factors of Residual Dizziness after Reduction of Benign Paroxysmal Positional Vertigo

Review | 更新时间：2026-09-22

- Meta-analysis of Influencing Factors of Residual Dizziness after Reduction of Benign Paroxysmal Positional Vertigo
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 24, Issue 4, Pages: 401-405(2026)
- 作者机构：
  
  青岛大学附属威海市立第二医院耳鼻咽喉科威海 264200
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2026.04.014
  CLC： R764.04
- Received：04 August 2025，
  
  Revised：2026-05-10，
  
  Accepted：30 June 2026，
  
  Published：15 July 2026
- 稿件说明：
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孙茂钢,王俊鑫,张恩东等.良性阵发性位置性眩晕复位后残余头晕影响因素meta分析[J].中国听力语言康复科学杂志,2026,24(04):401-405.

SUN Mao-gang,WANG Jun-xin,ZHANG En-dong,et al.Meta-analysis of Influencing Factors of Residual Dizziness after Reduction of Benign Paroxysmal Positional Vertigo[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(04):401-405.
孙茂钢,王俊鑫,张恩东等.良性阵发性位置性眩晕复位后残余头晕影响因素meta分析[J].中国听力语言康复科学杂志,2026,24(04):401-405. DOI： 10.3969/j.issn.1672-4933.2026.04.014.

SUN Mao-gang,WANG Jun-xin,ZHANG En-dong,et al.Meta-analysis of Influencing Factors of Residual Dizziness after Reduction of Benign Paroxysmal Positional Vertigo[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(04):401-405. DOI： 10.3969/j.issn.1672-4933.2026.04.014.

摘要

目的

通过Meta分析调查良性阵发性位置性眩晕（BPPV）患者在接受耳石复位治疗后，仍存在头晕症状的潜在危险因素。

方法

系统检索PubMed、Cochrane、中国生物医学文献数据库（CBM）、中国知网（CNKI）、维普及万方数据库，对2015年3月～2025年3月发表的关于BPPV复位后残留头晕影响因素的中英文文献进行筛选，使用RevMan 5.3软件对符合研究标准的文献研究结果进行Meta分析。

结果

最终共纳入19篇文献，共涉及3295例患者。年龄因素对BPPV复位后残留头晕的影响显著，均数差（mean difference，MD）（95%CI，

值）为-8.26（-11.69～-4.82，

0.01）；多管耳石对BPPV复位后残留头晕的影响显著（

=0.62，95%CI［0.48，0.81］，

0.05）；合并内科疾病对BPPV复位后残留头晕的作用显著（

=2.03，95%CI［1.53，2.69］，

0.05）；耳石复位次数对BPPV复位后剩余头晕的影响显著（

=0.68， 95%CI［0.52， 0.88］，

0.05）；性别对复位后剩余头晕的影响无统计学意义（

=0.94， 95%CI［0.86， 1.03］，

=0.17）。

结论

年龄、多管耳石、内科疾病及复位操作次数对耳石复位后残余头晕有显著影响，性别对复位后残余头晕无影响。

Abstract

Objective

Objective to systematically evaluate the factors of residual dizziness after reduction of benign paroxysmal positional vertigo.

Methods

We collected the relevant data on influencing factors of residual dizziness after reduction of benign paroxysmal positional vertigo at home and abroad before March 2025 by searching in PubMed

Cochrane Library

CBM

CNKI

and WanFang Data. Then meta-analyses were conducted by using RevMan5.3 software.

Results

A total of 19 articles

including 3295 patients

were included in this study.The influence of age on residual dizziness after reduction of benign paroxysmal positional vertigo was significant

(95%CI

P)-8.26(-11.69～-4.82

0.01);The effect of multi-tubule otolith on residual dizziness after reduction of benign paroxysmal positional vertigo was significant (

=0.62

95%CI[0.48

0.81

]

0.05). The influence of medical diseases on residual dizziness after reduction of benign paroxysmal positional vertigo was significant (

=2.03

95%CI[1.53

2.69

]

0.05). The number of repositioning maneuvers demonstrates statistically significant differences in affecting residual dizziness after benign paroxysmal positional vertigo repositioning theraphy (

=0.68

95%CI[0.52

0.88

]

0.05).There was no significant difference in the effect of gender on residual dizziness after reduction of benign paroxysmal positional vertigo (

=0.94

95%CI[0.86

1.03

]

=0.17).

Concluion

Age

multiple tubule otolith

the number of repositioning maneuvers and medical diseases had significant effects on residual dizziness after reduction of benign paroxysmal positional vertigo

while gender had no significant effects on residual dizziness after reduction of benign paroxysmal positional vertigo.

关键词

Keywords

references

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