耳石症患者复位治疗成功后头晕观察  

Residual dizziness after repositional maneuvers for benign paroxysmal positional vertigo

作　　者：王利一[1] 高波[1] 黄魏宁[1] 

机构地区：[1]卫生部北京医院耳鼻喉科,北京100730

出　　处：《山东大学耳鼻喉眼学报》2014年第4期20-21,25,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的观察后半规管耳石症（BPPV）患者经手法复位成功后,其头晕发生率及持续时间。方法 2009～2011年门诊确诊单侧后半规管BPPV手法复位成功患者418例,分成老年组（≥60岁）137例、青年组（〈60岁）281例,分别观察两组头晕发生率及持续时间。结果老年组头晕发生率45.3%（62/137）,青年组27%（76/281）,两组间差异有统计学意义（P〈0.01）;头晕平均持续时间老年组（14.6±4.4）d,青年组（8.9±4.7）d,两组间差异有统计学意义（P〈0.01）;老年组中女性头晕发生率43.3%（39/90）,男性48.9%（23/47）,两组间差异无统计学意义（P〉0.05）;老年组中女性头晕平均持续时间（15.7±5.3）d,男性（14.7±4.6）d,两组间差异无统计学意义（P〉0.05）。结论老年BPPV患者复位治疗成功后头晕发生率明显高于青年组,头晕持续时间明显长于青年组;老年组头晕发生率及持续时间与性别无关。Objective To investigate the residual dizziness after repositional maneuvers for benign paroxysmal positional vertigo. Methods 418 patients were divided into two groups： the elderly group and the control group. The incidence rate and durations of dizziness were evaluated. Results 62 patients（ 45. 3%） reported residual dizziness in elderly group and 76 patients（ 27%） in control group（ P〈0. 01）,the mean durations of the residual dizziness was 14. 6 ±4. 4 days in elderly group and 8. 9 ± 4. 7 days in control group（ P〈0. 01）. There was no correlation between residual dizziness and sex in elderly group. Conclusion After the repositional maneuvers for benign paroxysmal positional vertigo,the incidence rate of residual dizziness and the duration in the elderly are higher and longer than the younger.

关 键 词：眩晕 位置性眩晕 老年 头晕 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]