不同耳石复位法治疗78例良性阵发性位置性眩晕临床分析  

作　　者：李爱君[1] 王永宝[1] 刘玉芳[1] 

机构地区：[1]河北省保定市第二中心医院耳鼻喉头颈外科,072750

出　　处：《浙江临床医学》2014年第1期18-20,共3页Zhejiang Clinical Medical Journal

摘　　要：目的：总结李氏复位法、Epley法和Semont法三种手法复位治疗良性阵发性位置性眩晕（BPPV）患者的疗效。方法将2011年1月至2013年1月收治的78例BPPV患者随机分为3组，分别采用李氏法、Epley法和Sement法进行治疗，评定其疗效，随访6个月。结果三种方法治疗有效率在治疗后1、2、6个月时差异无统计学意义（P〉0.05）。患者随访6个月，均无复发。治疗过程中仅3例出现呕吐，休息后好转。结论三种方法治疗有效率相近（P〉0.05），治疗时可依据患者情况选择不同复位法。Objiective To summarize the effect of three types of methods（Epley,s maneuver、semont,s maneuver and Lishi,s maneuver）in curring the benign paroxysmal positional vertigo（BPPV）. Methods 78 patients with BPPV treated from January 2011 to January 2013 were divided into three groups randomly. Epley’s maneuver、semont’s maneuver and Lishi’s maneuver were used to treat the patients in the three groups respectively,and we evaluated the effect of the treatment and followed up the patients for 6 months. Results There was no significant difference in the three types of methods during 1 week,2 weeks and 6 months after treatment（P〉0.05）.the patients were followed for 6 months,during which no recurrence,Vomiting occurs in 3 patients,which was relieved by resting. Conclusions Epley’s maneuver、semont’s maneuver and Lishi’s maneuver have a similar effect in cu ring BPPV. We can choose different method according to the patient＆#39;s situation during the course of treatment.

关 键 词：良性阵发性位置性眩晕 手法复位 疗效 半规管 

分 类 号：R441.2[医药卫生—诊断学]