目的：研究3种眩晕量表在社区良性阵发性位置性眩晕（benign paroxysmal positional vertigo，BPPV）诊断中的临床价值。

方法：选取2023年1月至2024年6月上海市长宁区新华街道社区卫生服务中心转诊至上海市宝山区仁和医院就诊的以头晕和（或）眩晕为主诉的患者，根据是否确诊为BPPV分成BPPV组和非BPPV组。在患者确诊前采用眩晕残障量表（Dizziness Handicap Inventory，DHI）、Berg平衡量表（Berg Balance Scale，BBS）和汉化眩晕症状量表（Vertigo Symptom Scale-Chinese，VSS-C）进行筛查，并记录量表评定结果。采用多因素logistic回归模型分析BPPV相关影响因素，分析DHI、BBS和VSS-C以及3种量表联合应用在BPPV诊断中的临床价值。

结果：共纳入80例患者，其中BPPV组36例，非BPPV组44例。BPPV组患者的DHI和VSS-C评分均高于非BPPV组，BBS评分低于非BPPV组（P＜0.05）。logistic多因素分析结果显示，DHI评分［比值比（odds ratio，OR）＝4.440，95%置信区间（confidence interval，CI）：1.820～10.831，P＝0.001］、VSS-C评分（OR＝1.036，95% CI：1.009～1.063，P＝0.008）及BBS评分（OR＝0.539，95% CI：0.298～0.973，P＝0.040）是BPPV的独立影响因素。DHI评分、BBS评分和VSS-C评分以及3种量表联合应用的ROC曲线显示，3种量表联合应用辅助诊断BPPV的效能最优，联合应用的敏感度为0.834，特异度为0.779。

结论：DHI、BBS和VSS-C 3种量表联合应用有助于对社区头晕和（或）眩晕患者进行初筛，提高BPPV识别效率，使患者获得及时的诊断和治疗。

Objective: To investigate the clinical value of three vertigo scales in the diagnosis of benign paroxysmal positional vertigo (BPPV) in the community.

Methods: Patients with dizziness and (or) vertigo as the main complaint, who were referred from the Xinhua Sub-district Community Health Service Center of Changning District to Renhe Hospital of Baoshan District, Shanghai, between January 2023 and June 2024, were selected. Patients were grouped based on whether they were diagnosed with BPPV. Before diagnosis, screening was conducted using the Dizziness Handicap Inventory (DHI), Berg Balance Scale (BBS) and Vertigo Symptom Scale-Chinese (VSS-C), and the results of the scale evaluations were recorded. A multivariate logistic regression model was used to analyze the factors related to BPPV, and the clinical values of DHI, BBS, VSS-C and the combined application of the three scales in supporting diagnosis of BPPV were analyzed.

Results: A total of 80 patients were included, of whom 36 were diagnosed with BPPV. The DHI and VSS-C scores in the BPPV group were significantly higher than those in the non-BPPV group (P＜0.05), while the BBS score was lower than that in the non-BPPV group (P＜0.05). Multivariate logistic regression analysis showed that DHI score [odds ratio (OR)＝4.440, 95% confidence interval (CI): 1.820-10.831, P＝0.001], VSS-C score (OR＝1.036, 95% CI: 1.009-1.063, P＝0.008) and BBS score (OR＝0.539, 95% CI: 0.298-0.973, P＝0.040) were independent influencing factors for BPPV. ROC curves for DHI score, BBS score, VSS-C score, and the combined application of the three scales showed that the combined application of the three scales had the optimal diagnostic efficacy for BPPV, with a sensitivity of 0.834 and a specificity of 0.779.

Conclusion: The combined application of DHI, BBS and VSS-C scales is helpful for the initial screening of patients with acute vertigo, improves the efficiency of BPPV identification, and enables patients to receive timely diagnosis and treatment.