Study on the relationship between benign paroxysmal positional vertigo and sleep disturbance

Abstract

Objective:To explore the relationship between benign paroxysmal positional vertigo （BPPV） and sleep disorders through the analysis of subjective and objective sleep conditions. Methods:Forty-five patients with BPPV and fifty controls who met the inclusion and exclusion criteria were selected for Pittsburgh sleep quality index （PSQI） questionnaire survey and polysomnography （PSG） check, and SPSS 23.0 was used to compare and analyze the results. Results:Compared with the control group, patients with BPPV had changes in sleep structure, high apnea hypopnea index （AHI） and significantly decreased subjective sleep quality （P<0.05）, and there were significant differences in the PQSI scores of patients with BPPV before and after treatment （P<0.05）.Binary logistic regression analysis of BPPV and AHI showed that for every 1 increase in AHI index, the probability of BPPV increased by 1.8 times （OR=2.80, 95%CI=2.25-3.66）.After grouping AHI and performing regression analysis, it was found that the risk of BPPV in patients with AHI≥5 was 3.94 times that of patients with AHI <5（OR=3.94，95%CI=1.63-9.48）. Conclusion:Patients with BPPV have decreased sleep quality and altered sleep structure, and in this study, AHI is found to be a risk indicator for BPPV.