摘要
目的观察耳石复位法治疗良性阵发性位置性眩晕(BPPV)的疗效,并探讨其与颈性眩晕的鉴别要点。方法选择100例BPPV患者,其中后上半规管性患者60例采用Epley复位法治疗,复位法水平半规管性患者40例采用barbecue翻滚法治疗,观察治疗效果。结果治疗2周后复查,痊愈95例,改善3例,无效2例。近期治愈率为95%,有效率为98%。对于改善及无效的患者行颈椎X线检查,表现为不同程度的颈椎退行性改变及颈椎不稳。结论Epley法和barbecue翻滚法是一种快捷、简单、经济有效的治疗BPPV的方法。但对于中老年人,有颈部外伤史、长期伏案工作者、尤其伴有颈部疼痛和耳部症状者,应与颈性眩晕相鉴别。
Objective It is to observe the curative efficacy of canalith reposition procedure benign paroxysmal positional vertigo （BPPV）, and to explore the difference between this disease and cervical vertigo. Methods One hundred patients with BPPV were chosen, including 60 cases with anterior semicircular canal who were treated with Epley reposition method, and 40 patients with the horizontal semicircular canal who were treated with barbecue tumble method. The curative effects were observed. Results Reexamination after two weeks＇ treatment showed that there were 95 recovery cases, 3 improved cases and 2 invalid cases. The recent recovery rate was 95 % , and effective rate was 98 %. The X-ray examination of cervical vertebra showed that there were some cervical spinal retrogression and cervical spinal instability in the patients who were invalid and improved. Conclusion Epley and barbecue were a convenient, simple, cheap and effective methods for treating for BPPV. But the middle or aging people with neck trauma, long-term bending, especially cervical pain and aural symptoms should be differentiate from cervical vertigo.
出处
《现代中西医结合杂志》
CAS
2010年第7期796-797,共2页
Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词
良性阵发性位置性眩晕
耳石
复位法
半规管
颈性眩晕
benign paroxysmal positional vertigo
otolith
reposition
semicircular canal
cervical vertigo
