良性阵发性位置性眩晕诊治分析  

Diagnosis and Treatment of Benign Paroxysmal Positional Vertigo:A Case Series Report

作　　者：杨佩珍[1] 陈彦林[1] 马焱燚[1] 陈志鹏[1] 王冬青 

机构地区：[1]山东省临沂市人民医院耳鼻咽喉科,山东276003

出　　处：《中华耳科学杂志》2017年第6期653-656,共4页Chinese Journal of Otology

摘　　要：目的回顾性分析我科诊治的良性阵发性位置性眩晕(BPPV)患者,分析发病因素及治疗方式,旨在协助临床医生提高精准诊治。方法以眩晕问卷形式收集2010年6月-2016年11月接诊1200例BPPV患者,分别采用Epley复位法、Barbecue复位法、Semont复位法及Brandt-Daroff习服法,药物与心理辅助治疗。分析发病原因、临床特征、治疗方式。结果 1200例BPPV患者中,女性多见,男女比例为1:2.2;60-70岁年龄段发病多;症状仅表现为体位发作性眩晕,无基础病和合并症者多;诊断分型后半规管BPPV1012例(84.33%)、水平半规管BPPV162(13.50%)、上半规管BPPV0例(0.00%)、多个半规管BPPV26例(2.17%);耳石复位是首选治疗方法,首次复位有效率为88%。结论详细收集病史及临床特征,综合评估做出正确诊断,给予个性化治疗是有效治疗BPPV的关键。Objective To report results of a retrospective analysis of risk factors and treatment outcomes in a group of patients with BPPV in the hope to improve diagnosis and treatment. Methods A total of 1,200 patients diagnosed with BPPV between June 2010 and November 2016 were enrolled in the study by vertigo questionnaires. All were treated with either Epley, Barbecue, Semont or Brandt-Daroff maneuvers, supplemented with drug or psychological therapies as needed. Results The male to female ratio was 1:2.2, with onset ages ranging from 60 to 70 years. Vertigo symptoms were associated with postures only, and no underlying diseases or comorbidities were observed. The lesion was located to the posterior semicircular canal in 1,012 patients(84.33%), to horizontal semicircular canal in 162 patients(13.50%) and to multiple semicircular canals in 26 patients(2.17%). There was no involvement of the anterior semicircular canal. The most effective treatment for this roup of patients was otolith repositioning maneuvers with an effective rate of 88%. Conclusion Detailed history and typical clinical characteristics through comprehensive evaluation are the key to correct diagnosis. The key to successful management in BPPV is personalized treatment.

关 键 词：良性阵发性位置性眩晕 后半规管 耳石复位 

分 类 号：R764[医药卫生—耳鼻咽喉科]