摘要
目的探究李氏复位法对水平离地性眼震良性阵发性位置性眩晕（BPPV）复位治疗的近期疗效。方法回顾性分析2014年5月～2016年7月确诊的43例向地性眼震水平半规管BPPV患者和30例离地性眼震水平半规管BP?PV患者的临床资料，两组均采用李氏手法复位治疗，将每次门诊治疗计算为1个周期，每个周期进行2次相同复位法治疗，中间间隔5至10分钟，3天后及1周后复查，分析两组患者治疗后的临床效果。结果3天及1周的向地眼震患者复位有效率分别为83.7%和95.3%，离地性眼震患者的有效率分别为90.0%和96.7%两组之间差异无统计学意义（P>0.05）。结论李氏复位法对治疗离地性眼震HC-BPPV同样能取得良好的治疗效果，且操作简便，过程迅速，可在临床应用。
Objective To report short-term outcomes of the Li’s repositioning maneuver in patients with apogeotropicnystagmus horizontal semicircular benign paroxysmal positional vertigo (HC-BPPV). Methods Clinical data from patientswith HC-BPPV and apogeotropic nystagmus(n = 30)or geotropic nystagmus(n = 43)seen from May 2014 to July 2016were analyzed. The patients in both groups were treated with the Li’s repositioning maneuver. Results The efficacy rates onday 3 and one week after the Li’s repositioning maneuver were 83.7% and 95.3% in patients with geotropic nystagmus, and90.0% and 96.7% in those with apogeotropic nystagmus, respectively (P>0.05). Conclusion The Li’s repositioning maneuveris an effective and simple treatment for HC-BPPV patients with apogeotropic nystagmus.
作者
邹世桢
李进让
王志斌
吕霞
田丛哲
崔丽萍
田师宇
ZOU Shizhen;LI Jinrang;WANG Zhibin;LV Xia;Tian Congzhe;CUI Liping;TIAN Shiyu(The Third Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong Province, 510630, China;Department of Otorhinolaryngology Head and Neck Surgery,PLA Navy General Hospital, Beijing,100048,China;Department of Otolaryngology, Central Hospital of Bengbu,Bengbu,Anhui Province, 233000,China;Department of Otolaryngology, Wei County People’s Hospital, Xingtai, Hebei Province, 054700, China;Department of Otolaryngology, Affiliated Hospital of Hebei University, Baoding, Hebei Province, 071000, China;Department of Otolaryngology, Third Hospital of Shijiazhuang, Shijiazhuang , Hebei Province,050061, China.)
出处
《中华耳科学杂志》
CSCD
北大核心
2016年第4期481-485,共5页
Chinese Journal of Otology
关键词
前庭疾病
位置性眩晕
水平半规管
离地性眼震
手法复位
Vestibular disease
Positional vertigo
Horizontal semicircular canal
Apogeotropic nystagmus
Repositioning maneuver
