摘要
目的观察SRM-Ⅳ全自动前庭功能诊疗系统对无眼震性良性阵发性位置性眩晕的治疗效果。方法选取64例可能为后半规管或水平半规管受累而位置试验无眼震的BPPV患者,按治疗方法分为3组:机器组(24例)、手法组(24例)和药物组(16例),分别通过诊疗系统行耳石复位、手法行耳石复位、口服甲磺酸倍他司汀及银杏叶提取物片,治疗7 d后比较各组间耳石复位效果,观察眼震和症状变化。结果机器组痊愈率为70.83%,总有效率达91.6%;手法组痊愈率为50%,总有效率达66.67%;药物组痊愈率为18.75%,总有效率达50%。机器组与手法组比较,痊愈率和总有效率差异有统计学意义(P<0.05);与药物组比较,机器组痊愈率和总有效率明显高于药物组(P<0.05)。结论 SRM-Ⅳ前庭功能诊疗系统可有效地治疗无眼震BPPV,提高阴性眼震的检出率,有利于BPPV治疗的精准性和有效性。
Objective To evaluate the therapeutic efficacy of SRM-Ⅳ vestibular function diagnosis and treatment system against benign paroxysmal positional vertigo（ BPPV） without nystagmus. Methods Sixty-four patients were diagnosed with the posterior and horizontal semicircular BPPV without nystagmus according to clinical symptoms and positional test. They were randomly divided into three groups and treated for one week. Twenty-four of these patients underwent automatic positional maneuver by the SRM-Ⅳ vestibular function diagnosis system,another 24 patients underwent traditional positional maneuver,and 16 patients received medication.Results After one week,the difference of the recovery rate and total effective rate was statistically significant（ P〈0. 05） between the machine group and the traditional group. The recovery rate and total effective rate of the machine group were significantly higher than those of the drug group（ P〈0. 05）. Conclusions The positional therapy by the automatic SRM-Ⅳ system can be an effective and reliable approach to BPPV without nystagmus.
作者
易洋
黄颖
李昊
李洁颖
YI Yang;HUANG Ying;LI Hao;LI Jieying(Department of Vertigo Institute,Guizhou Provincial Crops Hospital of Chinese People＇s Armed Police Force,Guiyang 550005,China;Department of Neurology,Second People＇s Hospital of Guiyang,Guiyang 550081,China)
出处
《武警医学》
CAS
2018年第8期762-765,共4页
Medical Journal of the Chinese People's Armed Police Force
关键词
良性阵发性位置性眩晕
SRM-Ⅳ前庭功能诊疗系统
眼震
benign paroxysmal positional vertigo
SRM- vestibular diagnosis and treatment system
nystagmus
