摘要
目的回顾性分析60例良性阵发性位置性眩晕（BPPV）诊断和治疗方法，为提高BPPV疗效提供参考依据。方法60例患者（男34例，女26例）通过常规神经耳科学检查、Dix—Hallpike和滚转试验确诊为BPPV。40例在发病10天内就诊，6N在发病1月内就诊，10例在5月内就诊，4例在6月以上就诊。采用Semont摆动手法、Epley颗粒复位法和Barbecue翻滚疗法治疗。对治疗1次无效者间隔7天重复治疗，重复3次无效者采用其它方法治疗。完成冶疗后2周复查评定疗效。结果后半规管BPPV54例，22例采用Semont手法复位治疗，14例痊愈，4例改善，4例无效。4例无效改用Epley颗粒复位法。Epley颗粒复位法治疗36例，28例痊愈，4例改善，4例无效。6例外半规管BPPV采用Barbecue翻滚疗法治疗4例痊愈，2例无效。40例10天内就诊者治愈32例，8例改善。6例发病1月内就诊者治愈2例，改善4例。10例5月内就诊者4例痊愈，4例改善，2例无效。4例6月以上就诊者治疗3次均无效。46例治疗1次有效，4例患者治疗2次有效，4例患者治疗3次有效。结论手法复位治疗BPPV有效率高，BPPV治疗效果与发病至就诊时间相关。
Objective To investigate the therapeutic effect of positional maneuver for the treatment of benign paroxysmal positional vertigo based on a clinical trial. Methods A retrospective study was carried out among 60 eases with benign paroxysmal positional vertigo （BPPV） treated in our Hospital, diagnosed on the basis of outcomes from neurootological examination, Dix-Hallpike test and roll-rock test. Then, they were treated by Semont liberatory maneuver, Epley canalith repositioning maneuver and/or Barbecue maneuver respectively and their therapeutic effect was evaluated 2 weeks late following the finish of treating course. Results Among the 54 cases with the condition of BPPV caused by the lesion of posterior semicircular canal in this subgroup, 22 were treated by Semont liberatory maneuver, with 14 cured, 4 improved and 4 ineffective, and the other 32 cases plus the 4 treated by Semont liberatory maneuver ineffectively, 36 in total, were treated by Epley canalith repositioning maneuver, with 28 cured, 4 improved and 4 ineffective. The therapy of Barbecue maneuver was given to the 6 patients with their lesion developed from horizontal semicircular canal lesion, with 4 eured and 2 ineffective. These results suggested that the therapeutic effect should be much better for cases with this kind of lesion treated as earlier as possible once one got ill. Conclusions Positional maneuver is effective for the treatment of benign paroxysmal positional vertigo and its effectiveness is closely associated with the interval time from onset to consulation.
出处
《中国中西医结合耳鼻咽喉科杂志》
2009年第2期74-76,104,共4页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
关键词
良性阵发性位置性眩晕
治疗
复位手法
Benign paroxysmal positional vertigo
Treatment
Positional maneuver
