手法复位治疗良性阵发性位置性眩晕36例  

Clinical analysis of 36 benign paroxysmal positional vertigo patients treated with positional maneuver

作　　者：刘静波[1] 刘建治[1] 黄建民[1] 

机构地区：[1]福建医科大学附属协和医院耳鼻咽喉头颈外科,福州350001

出　　处：《山东大学耳鼻喉眼学报》2010年第6期17-19,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的评价体位治疗在良性阵发性位置性眩晕(BPPV)的应用价值。方法回顾性分析36例原发性或继发性BPPV的临床资料,后半规管BPPV采用改良Epley手法或Semont手法复位,水平半规管采用Barbecue翻滚疗法复位治疗,评价其治疗效果。结果 33例后半规管BPPV患者应用改良Epley手法或Semont手法复位,有效率为93.9%。3例水平半规管BPPV患者采取Barbecue翻滚法复位后症状均明显改善。结论手法复位治疗良性阵发性位置性眩晕方法简单,疗效可靠,治愈率高。Objective To assess the therapeutic effect of positional maneuver in the treatment of benign paroxysmal positional vertigo （BPPV）. Methods Thirty-six BPPV cases diagnosed on the basis of the Dix Hallpike test and roll-rock test were reviewed. All of the patients were treated with the Epley （canalith repositioning） maneuver,Semont （liberatory） maneuver or Barbecue maneuver. The therapeutic effects were evaluated. Results Thirty-three BPPV cases caused by lesion of the posterior semicicular canal were treated with the Epley or Semont maneuver. The effective rate in this subgroup was 93.9%. The other 3 cases caused by lesion of horizontal semicircular canal were treated with the Barbecue maneuver and symptoms improved after the treatment. Conclusions Positional maneuver is a simple,safe and effective way to treat benign paroxysmal positional vertigo. The procedures should be recommended.

关 键 词：良性阵发性位置性眩晕 治疗 复位手法 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]