良性发作性位置性眩晕患者行管石复位治疗的疗效观察  

Effect analysis of canalith repositioning therapy on Benign paroxysmal positional vertigo

作　　者：朱丽明[1] 那学武[1] 李海洲[1] 孙建华[1] 胡军[1] 

机构地区：[1]锦州市中心医院耳鼻喉科,辽宁锦州121001

出　　处：《中国民康医学》2016年第7期1-2,5,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察管石复位法治疗良性复发性位置性眩晕(Benign paroxysmal positional vertigo,BPPV)患者的临床疗效。方法:将良性复发性位置性眩晕患者250例作为研究对象,其中后半规管性BPPV患者204例;水平半规管性BPPV患者46例。后半规管性BPPV患者行Epley法管石复位治疗;水平半规管性BPPV患者行Barbecue翻滚法管石复位治疗。分别于术后一周及一个月后随访,记录患者的治疗情况。结果:一周后随访,后半规管性BPPV患者痊愈162例,好转30例,无效12例,总有效率为98.03%;水平半规管性BPPV患者痊愈31例,好转8例,无效7例,总有效率为95.65%;250例BPPV患者中总有效率为92.40%。一个月后随访,后半规管性BPPV患者痊愈187例,好转12例,无效5例,总有效率为99.02%;水平半规管性BPPV患者痊愈39例,好转4例,无效3例,总有效率为97.83%;250例BPPV患者中总有效率为96.80%。结论:管石复位法治疗良性复发性位置性眩晕患者的疗效好。Objective: To investigate clinical efficacy of canalith repositioning therapy on benign paroxysmal positional vertigo.Methods: 250 cases of benign paroxysmal positional vertigo were selected as research subjects,including posterior semicircular canal BPPV patients of 204 cases( treated with Epley method) and horizontal semicircular canal BPPV patients of 46 cases( treated with Barbecue method). After a week and a month,the patients were followed up,and their situations were recorded. Results: The follow-up after a week showed that: among the posterior semicircular canal BPPV patients,162 cases were recovered,30 cases were improved,and 12 cases were ineffective with a total effective rate of 98. 03%; among the horizontal semicircular canal BPPV patients,31 cases were recovered,8 cases were improved,and 7 cases were ineffective with the total effective rate of 95. 65%; the total effective rate of all the patients was 92. 40%. The follow-up after a month showed that: among the posterior semicircular canal BPPV patients,187 cases were recovered,12 cases were improved,and 5 cases were ineffective with a total effective rate of 99. 02%; among the horizontal semicircular canal BPPV patients,39 cases were recovered,4 cases were improved,and 3 cases were ineffective with the total effective rate of 97. 83%; the total effective rate of all the patients was 96. 80%. Conclusions: The canalith repositioning method is effective on benign paroxysmal positional vertigo.

关 键 词：良性复发性位置性眩晕 管石复位法 效果 

分 类 号：R764.33[医药卫生—耳鼻咽喉科]