良性阵发性位置性眩晕的自我治疗  

Self-treatment on benign paroxysmal positional vertigo

作　　者：储旭华[1] 夏怀林[1] 汪滨农[1] 许祝青[1] 

机构地区：[1]南京医科大学第一附属医院神经内科,210029

出　　处：《中华神经科杂志》2006年第2期122-124,共3页Chinese Journal of Neurology

摘　　要：目的比较改良的Ep ley耳石复位法(MEP)和改良的Semont耳石复位法(MSM)用于后半规管良性阵发性位置性眩晕(PC-BPPV)自我治疗的疗效。方法对2001年7月至2003年6月间的70例PC-BPPV患者分别使用MEP和MSM法进行自身治疗,1周后比较两组缓解率和治疗的副作用。结果MEP组中95%(n=37)患者完全缓解,而MSM组仅为58%(n=33,P<0.001)。MSM组中,治疗的失败与动作执行的不准确密切相关。两组治疗有关的副作用差异无统计学意义。结论MEP比MSM能更有效的缓解PC-BPPV,MEP应为患者自身治疗的首选方法。Objective To compare the efficacy of a self-applied modified Semont maneuver （MSM） with self-treatment using a modified Epley procedure （MEP） in patients with posterior canal benign paroxysmal positional vertigo （PC-BPPV）. Methods All 70 patients with PC-BPPV were treated respctively by using MEP and MSM between July 2001 and June 2003, remission rate and treatment-related side effects were compared at the end of 1 week. Results Remission rate was 95% in the MEP group （n = 37） vs 58% in the MSM group （n = 33, P 〈 0.001）. Treatment failure was related to the incorrect performance of the maneuver in the MSM group, whereas treatment-related side effects did not show difference significantly between the groups. Conclusion MEP is more effective than the MSM in relieving BPPV, that MEP might be recommended as a first-line self-treatment approach.

关 键 词：梅尼埃病 运动疗法 

分 类 号：R741[医药卫生—神经病学与精神病学]