Epley法治疗PC-BPPV的临床疗效观察  

Clinical Efficacy of Epley Procedure for Treatment of Benign Paroxysmal Positional Vertigo of Posterior Semicircular Canal

作　　者：谢康[1] 杜双文[1] 高继君[1] 寿广丽[1] 蒋宏俨[1] 李有中[1] 

机构地区：[1]蚌埠医学院第二附属医院神经内科,安徽省蚌埠市233040

出　　处：《中华全科医学》2012年第2期203-204,共2页Chinese Journal of General Practice

摘　　要：目的评价Epley法治疗后半规管良性发作性位置性眩晕(PC-BPPV)的临床疗效。方法将入选的PC-BPPV患者随机分为治疗组(Epley法加体位限制)与对照组(仅给予体位限制),分别进行治疗,采用痊愈、改善、无效的标准定期进行疗效评定。结果治疗组于第4,7,10天时痊愈率为82.76%、93.10%、100.00%,而对照组同期为15.56%、24.44%、60.00%;治疗组于第4,7,10天时有效率为96.55%、100.00%、100.00%,而对照组同期为53.33%、68.89%、88.89%,治疗组与对照组比较差异有统计学意义(P<0.005)。结论应用Epley法加体位限制治疗PC-BP-PV,痊愈率和有效率明显提高,疗效优于单纯体位限制治疗。Objective To assess the clinical efficacy of Epley procedure for treatment of benign paroxysmal positional vertigo of the posterior semicircular canal（PC-BPPV）.Methods The patients with PC-BPPV enrolled in this study were randomly allocated to therapeutic group（Epley procedure in combination with postural restriction group） and control group（postural restriction alone group）,the respective treatment were performed.The efficacy was evaluated by the standards of the following scales： cure,improvement,and no response.Results The cure rates in the therapeutic group were 82.76%,93.10%,100.00% on days 4,7 and 10,respectively,while the control group were 15.56%,24.44%,60.00% at the same time,respectively;The response rates in the therapeutic group were 96.55%,100.00%,100.00% on days 4,7 and 10,respectively,while the control group were 53.33%,68.89%,88.89% at the same time,respectively.There was significant difference between the two groups（P0.005）.Conclusion Epley procedure in combination with postural restriction can obviously increase the curative rate and effective rate of PC-BPPV and is superior to postural restriction alone.

关 键 词：良性发作性位置性眩晕 半规管 Dix-Hallpike试验 EPLEY法 体位限制 

分 类 号：R764.35[医药卫生—耳鼻咽喉科]