184例良性发作性位置性眩晕的耳石定位与手法复位治疗的临床分析  

Clinical analysis of 184 cases with benign paroxysmal positional vertigo otolith positioning and manual reduction treatment

作　　者：郝姜蕾 冯艳蓉[1] 张庆翔[2] 

机构地区：[1]东南大学医学院附属南京同仁医院神经内科,江苏南京211102 [2]东南大学医学院附属南京同仁医院耳鼻咽喉头颈外科,江苏南京211102

出　　处：《中风与神经疾病杂志》2014年第5期441-443,共3页Journal of Apoplexy and Nervous Diseases

摘　　要：目的观察不同半规管所致良性发作性位置性眩晕（BPPV）发生率,及不同复位手法治疗的疗效,探讨其最佳治疗方法。方法回顾性分析2011年1月~2012年6月间在我院住院的184例BPPV患者的临床资料,对不同复位手法（Epley法、Barbecue翻滚法、Semont摆动法）的疗效进行比较。结果 184例患者中单半规管受累141例（76.63%）,复位有效136例（96.45%）;多半规管受累43例（23.37%）,复位有效37例（86.04%）。总有效率94.02%。Epley手法复位有效率92.76%、Barbecue翻滚法复位有效率85.93%、Semont摆动法复位有效率95.35%。复发率3.26%,复位〉2次103例。结论 BPPV患者中单半规管受累最常见;手法复位是BPPV的最有效的治疗方法。而半规管定位及复位手法的选择是影响疗效的主要因素。Objective To observe the incidence of benign paroxysmal positional vertigo（ BPPV） caused by different semicircular canal,and the different reset otolith methods,to explore the best BPPV treatment therapies. Methods A retrospective analysis of 184 hospitalized patients with BPPV from January 2011 to June 2012 in our hospital. Compared the efficacy of different repositioning otolith（ Epley method,Barbecue rolling method,Semont swing method）. Results In all 184 cases of patients,141 cases（ 76. 63%） with a single semicircular canal involvement,the otolith reset is effective in 136 cases（ 96. 45%）; 43 cases（ 23. 37%） with more than one regulatory involvement,the otolith reset is effective in 37 cases（ 86. 04%）. The total efficiency is 94. 02%. The efficiency of Epley method is 92. 76%,The efficiency of Barbecue rolling method is 85. 93%,the efficiency of Semont swing method is 95. 35%. The recurrence rate is 3. 26%,103 cases reset time were over 2 times among these patients. Conclusion Single semicircular canal involvement in BPPV patients is most common; The otolith reset is the most effective method for BPPV. The location of semicircular canals and the selection of the different otolith reset methods is the main factor affecting the efficacy.

关 键 词：良性发作性位置性眩晕 结石定位 手法复位 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]