Semont和Epley复位法治疗后半规管良性阵发性位置性眩晕的随机对照研究  

Randomized Controlled Study on Semont and Epley Maneuvers in the Treatment of Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo

作　　者：熊彬彬[1,2] 赵晓明[1] 刘劲[1] 林春梅[1] 林丽莉[1] 梁勇[2] 

机构地区：[1]广东省珠海市人民医院耳鼻咽喉头颈外科,广东珠海519000 [2]南方医科大学南方医院耳鼻咽喉头颈外科,广东广州510515

出　　处：《临床医学工程》2014年第5期576-578,共3页Clinical Medicine & Engineering

摘　　要：目的对后半规管良性阵发性位置性眩晕(posterior semicircular canal benign paroxysmal positional vertigo,PSCBPPV)复位方法 (Semont复位法和Epley复位法)的临床疗效进行对照研究,探讨两种复位方法之间有无差别。方法将珠海市人民医院耳鼻喉科眩晕门诊自2012年1月至2013年6月收治的118例PSC-BPPV患者随机分为两组,每组各56例,分别行Semont复位法和Epley复位法,比较两组的治疗效果。结果 1周后:Semont复位法的成功率为71.4%(40/56),而Epley复位法的成功率为85.7%(48/56);第2周:Semont复位法的成功率为82.1%(46/56),而Epley复位法的成功率为89.3%(50/56);第3周:Semont复位法的成功率为89.3%(50/56),Epley复位法的成功率91.1%(51/56);第4周:Semont复位法的成功率为96.4%(54/56),复发1例,无效1例,无效的1例改用Epley法亦无效;Epley复位法的成功率为92.9%(52/56),复发2例,无效2例,无效的2例改用Semont法亦无效。经过统计分析,两种方法随访各时间段的成功率比较均无统计学差异(P>0.05)。结论 Semont复位法和Epley复位法均有良好的效果,两者之间不存在统计学差异,临床可以根据医生的习惯和患者的情况自由作出选择。Objective To evaluate the difference between two kinds of maneuvers（Semont maneuver and Epley maneuver） for the treatment of posterior semicircular canal benign paroxysmal positional vertigo（PSC-BPPV）. Methods 118 patients with PSC-BPPV from January 2012 to June 2013 in Zhuhai people＇s hospital were randomly divided into two groups, treated with Semont maneuver and Epley maneuver respectively, with 56 patients in each group. The therapeutic effects of the two groups were compared. Results After one week,the success rate was 71.4%（40/56） of Semont, and 85.7%（48/56） of Epley; At 2ndweek, the success rate was 82.1%（46/56） of Semont, and89.3%（50/56） of Epley; At 3rdweek, the success rate was 89.3%（50/56） of Semont, and 91.1%（51/56） of Epley; At 4thweek, the success rate of Semont was 96.4%（54/56）, with one case of recurrence, one case of invalid（changed to Epley also uselessness）; the success rate of Epley was 92.9%（52/56）, with 2 cases of recurrence, 2 cases of invalid（changed to Semont still uselessness）. Statistical analysis showed no statistical difference between two maneuvers at each period of follow-up（P 0.05）. Conclusions Both Semont maneuver and Epley maneuver have good effect, with no statistical difference between two maneuvers. Doctors can freely make choice according their habits and patients＇ situation.

关 键 词：复位法 良性阵发性位置性眩晕 后半规管 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]