后半规管良性发作性位置性眩晕变位性眼震与耳石复位法疗效及复发相关性研究  

Relationship between positioning nystagmus and curative effect of canalith repositioning procedure and recurrence in posterior semicircular canal benign paroxysmal positional vertigo

作　　者：查达珍[1] 郑建明[1] 郑志雄[1] 钟林清[1] 彭有敬[1] 岳增昌[1] 陈彩华[1] 

机构地区：[1]福建医科大学附属闽东医院神经内科,福建福安355000

出　　处：《中国现代医学杂志》2015年第22期63-67,共5页China Journal of Modern Medicine

摘　　要：目的探讨单侧后半规管良性发作性位置性眩晕（PSC—BPPV）Dix-Hallpike试验诱发的眼震特点与耳石复位法（CRP）疗效及复发的相关性。方法单侧PSC—BPPV确诊后，记录Dix—HaUpike试验诱发的眼震持续时间和眼震频率，予以CRP治疗，确定入选病例，根据疗效分组：1循环痊愈入I组，2～3循环痊愈入Ⅱ组，4—6循环痊愈入Ⅲ组，6循环仍未愈入Ⅳ组，随访12个月，分析相关性。结果161例患者入该研究，4组例数分别为39、75、38和9。眼震持续时间各组间差异有统计学意K（F=302．901，P〈0．01），I与Ⅱ组间差异无统计学意义（P=O．376），I（或Ⅱ）、Ⅲ和Ⅳ组间差异有统计学意义（P〈0．01）。眼震频率各组间差异有统计学意义（F=10．526，P〈0．01），I与其他3组间差异有统计学意义（P≤0．01）。随访后，35例复发，126例未复发；复发组与未复发组眼震持续时间差异无统计学意义（p〉0．05），眼震频率差异有统计学意义（P〈0．01）。4组复发率差异无统计学意义（P〉0．05）。结论单侧PSC—BPPV患者Dix-Hallpike试验时，眼震持续时间较短的，CRP疗效较好；眼震频率较快的，疗效较好；眼震频率隧的，12个月内容易复发。[ Objective ] To investigate the relationship between the characteristic of nystagmus induced by the Dix-Hallpike maneuver and curative effect of the canalith repositioning procedure （CRP） and recurrence in unilater- al posterior semicircular canal benign paroxysmal positional vertigo （PSC-BPPV）. [ Methods ] After diagnosis of uni- lateral PSC-BPPV, nystagmus duration and nystagmus frequency induced by the Dix-Hallpike maneuver were recorded, the CRP treatment was performed, the cases were chosen and grouped according to curative effects： cured after 1 cycle into I group, cured after 2-3 cycles into I1 group, cured after 4-6 cycles into ]]I group, not cured after 6 cycles into lVgroup, after follow-up of 12 months, the relationship was analyzed. [Results] A total of 161 patients were included into this study, the case number of 4 groups were 39, 75, 38, and 9 respectively. The difference in nystagmus duration between 4 groups was significant （F = 302.901, P 〈 0.01）, the difference between I and 11 groups was not significant （P = 0.376）, differences between I （or Ⅱ ）, m and 1Vgroups were significant （P 〈 0.01）. There was significant difference in nystagmus frequency between 4 groups （F = 10.526, P 〈 0.01）, differences be- tween I group and the other 3 groups were significant （P ~〈 0.01）. After the follow-up, 35 cases recurred, 126 cases did not recur, between T＇ecurrence group and non-recurrence group, the difference in nystagmus duration was not sig- nificant （t = 1.228, P 〉 0.05）, and the difference in nystagmus frequency was significant （t = 6.204, P 〈 0.01）. There was no significant difference in recurrence rate between 4 groups （P 〉 0.05）. [ Conclusions ] In patients with unilat- eral PSC-BPPV undergoing the Dix-Hallpike maneuver, as nystagmus duration was shorter, the curative effect of the CRP was better; as nystagmus frequency was faster, the curative effect was better; as nystagmus frequency was slow- er, it was easy to recur within 12 months

关 键 词：良性发作性位置性眩晕 Dix—Hallpike试验 耳石复位法 疗效 复发 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]