良性阵发性位置性眩晕的诊断治疗  

Diagnosis and treament of benign paroxysmal positional vertigo

作　　者：张素珍[1] 吴子明[1] 赵承军[1] 

机构地区：[1]中国人民解放军总医院耳鼻咽喉-头颈外科 中国人民解放军总医院耳鼻咽喉科研究所,北京100853

出　　处：《中华耳科学杂志》2003年第2期42-45,共4页Chinese Journal of Otology

摘　　要：目的 探讨良性阵发位置性眩晕(benign paroxysmal positional vertigo,BPPV)的诊断标准及治疗方法。方法:追溯复习1999.12至2002.11两年间37例BPPV的诊断与治疗。诊断依据典型发病史及体位试验,在排除其他疾病的基础上诊断本病。采用综合治疗,包括血管扩张剂、体位治疗及前庭功能锻炼。结果:10名(27％)患者经治疗后眩晕未再复发;17名(46％)症状减轻、发病次数减少;10例(27％)仍有间歇性发作,经药物治疗持续几小时后好转。结论:虽国内外对BPPV的诊治尚无统一标准,根据临床公认的耳石症理论确诊后,采用药物、体位治疗加前庭功能锻炼是有效的治疗方法。Objective: To investigate the diagnosis and treatments of benign paroxysmal positioanl vertigo (BPPV). Methods: A retrospective study of 37 cases of BPPV was made for the patients of BPPV during 1999. 12至2002. 11. The diagnosis were reached by the chracteristics of the classical onset of vertigo, positioning maneuveres fesf and exclusion of other vertigious pathology. The treatment included medication(vascular dilation), canalith repositioning maneuver and vestibular function exercises. Results: The positional vertigo in 10 cases (27%) disappeared completely; 17 cases (46%) with apparent improvement and the rest 10 cases now and then recur and got better in hours after medication. Conclusion:The medication, canalith repositioning maneuver and vestibualr exercise were effective for BPPV, though diagnosis and treatment are still with no uniform criterion.

关 键 词：良性阵发性位置性眩晕 Dix-Hallpike 手法 体位治疗 

分 类 号：R25[医药卫生—中医内科学]