改良体位限制治疗经首诊手法复位未愈的水平半规管良性阵发性位置性眩晕的疗效观察  

Effect of Modified Position Restriction on Benign Paroxysmal Positional Vertigo in the First Non Healing Semicircular Canal

作　　者：王志斌 张小莉 陶祥明 李东海 张金翠 Wang Zhibin;Zhang Xiaoli;Tao Xiangming;Li Donghai;Zhang Jincui(Department of Otorhinolaryngology,Central Hospital of Bengbu,Bengbu,233000,China)

机构地区：[1]蚌埠医学院附属蚌埠市第三人民医院耳鼻喉科,蚌埠233000 [2]南京鼓楼医院耳鼻喉科

出　　处：《听力学及言语疾病杂志》2018年第6期580-583,共4页Journal of Audiology and Speech Pathology

基　　金：蚌埠市卫计委技术推广项目;蚌埠市科技计划项目(20140322;20160325)

摘　　要：目的观察改良体位限制治疗经首诊手法复位未痊愈的水平半规管良性阵发性位置性眩晕(HCBPPV)患者的疗效。方法 2014年4月～2016年12月对经Dix-Hallpike和Roll Test试验确诊且首次手法复位未痊愈的176例HC-BPPV患者采用联合改良体位限制治疗,观察治疗后3d和1周的有效率。结果治疗过程中,部分患者出现不同程度的恶心、呕吐、手麻症状,但所有患者均顺利完成复位治疗。176例首诊复位未痊愈的患者应用改良体位限制治疗3d后,痊愈、有效及无效患者分别为132、17、27例,痊愈率75.00%(132/176),总有效率84.66%(149/176);1周后随访,痊愈、有效及无效患者分别为158、10、8例,痊愈率89.77%(158/176),总有效率95.45%(168/176)。结论改良体位限制治疗经首诊手法复位未痊愈的HC-BPPV患者的疗效好,可作为首次手法复位治疗失败患者的补充治疗。Objective To study the effects of modified position restriction for non-healing horizontal canal benign paroxysmal positional vertigo(HC-BPPV).Methods From April 2014 to December 2016,a total of 176 cases with non-healing-BPPV were diagnosed by Dix-Hallpike.Supine roll test was applied with modified position restriction in the Department of ENT.The 3 and 7day outcomes were recorded.Results During the treatment,some patients had different degrees of nausea,vomiting and numbness,but all patients completed the treatment successfully.The number of cases of application of improved posture in patients first diagnosed not healed limited follow-up reduction after 3 d treatment,cure,effective and ineffective patients were 132,17 and 27,the cure rate was 75.00%,the total efficiency rate was 84.66%.After 1 weeks of follow-up recovery,effective and ineffective patients were 158,10 and 8 and the cure rate was 89.77%,the total efficiency rate was 95.45%.Conclusion Modified position restriction is a reliable and effective treatment for the first diagnosed,not cured,and semicircular canal benign paroxysmal positional vertigo.It can be used as an effective supplement to HC-BPPV manual reduction therapy.

关 键 词：良性阵发性位置性眩晕 体位限制 水平半规管 手法复位 

分 类 号：R764.34[医药卫生—耳鼻咽喉科]