良性阵发性位置性眩晕患者手法复位及合并抗眩晕药物治疗观察  

Therapeutic Effect of Canalith Repositioning Procedures with or without Anti-vertigo Drugs on Benign Paroxysmal Positional Vertigo

作　　者：刘君[1] 张奕[1] 

机构地区：[1]上海交通大学医学院附属仁济医院耳鼻咽喉-头颈外科,上海200127

出　　处：《华西医学》2012年第1期70-72,共3页West China Medical Journal

摘　　要：目的比较单纯手法复位和手法复位合并口服抗眩晕药治疗良性阵发性位置性眩晕(BPPV)的短期和长期疗效。方法将2004年1月-2011年6月期间收治的236例BPPV患者随机分为两组,对照组112例采用单纯手法复位,观察组124例在手法复位基础上配合口服抗眩晕药治疗,两组均于1周和3个月后复查,并随访观察1年,且比较其疗效。结果观察随访1年后,对照组总治愈率92.86%(104/112),观察组治愈率为93.54%(116/124),两者比较差异无统计学意义。结论单纯手法复位和手法复位合并口服抗眩晕药治疗BPPV其疗效相当,但可作为BPPV患者的首选治疗方法。Objective To evaluate the short-term and long-term effect of canalith repositioning procedures with or without anti-vertigo drugs on benign paroxysmal positional vertigo（BPPV）.Methods A total of 236 cases of BPPV that were treated with particle repositioning maneuver with medicine treatment from January 2004 to June 2011.The patients were divided into control group（112 patients,underwent canalith repositioning procedures） and observation group（124 patients,underwent canalith repositioning procedures with medication of anti-vertigo drugs）.The two groups were reappraised after one week and three months respectively,and the follow-up duration was one year.Results The success rate was 92.86%（104/112） in the control group and 93.55%（116/124） in the observation group one year after the treatment.The difference between the two groups was not significant.Conclusion The effect of canalith repositioning procedures with or without anti-vertigo drugs on BPPV does not differ much from each other.

关 键 词：良性阵发性位置性眩晕 手法复位 眩晕 半规管 眼震 

分 类 号：R764[医药卫生—耳鼻咽喉科]