良性阵发性位置性眩晕多次耳石复位的影响因素分析  

Analysis on influencing factors for repeated canalith repositioning maneuvers in benign paroxysmal positional vertigo

作　　者：温骏 刘福达[1] 黄焕章[1] 唐开雄[1] WEN Jun;LIU Fuda;HUANG Huanzhang;TANG Kaixiong(Department of Neurology,Jiangmen Central Hospital,Jiangmen 529000,China)

机构地区：[1]广东省江门市中心医院神经内科,广东江门529000

出　　处：《中国医药科学》2019年第1期227-230,共4页China Medicine And Pharmacy

摘　　要：目的分析良性阵发性位置性眩晕(BPPV)需要进行多次耳石复位的影响因素。方法收集我院从2016年7月～2018年7月收治的148例BPPV患者。系统性地分析BPPV患者临床资料。结果本研究共有136例BPPV患者手法复位成功,成功率约为91.9%。年龄较大、出现症状后就诊时间较长以及多个半规管受累患者与多次手法复位差异有统计学意义(P <0.05)。性别与多次手法复位差异无统计学意义(P> 0.05)。发病年龄、出现症状后就诊时间及受累半规管为多次手法复位的独立危险因素。结论耳石手法复位是BPPV最有效的治疗方法。发病年龄较大、出现症状后就诊时间较长及多个半规管受累会影响手法复位效果并增加手法复位次数。Objective To analyze influencing factors for repeated canalith repositioning maneuvers in patients with benign paroxysmal positional vertigo(BPPV).Methods One hundred and forty-eight BPPV patients who were admitted and treated in our hospital from July 2016 to July 2018 were selected.Clinical data of all BPPV patients were systematically analyze.Results In this study,136 BPPV patients were successfully restored by manual manipulation,with a success rate of about 91.9%.Older age,longer visit time after symptom onset and multiple semicircular canal involvement were associated with multiple manipulative reduction(P<0.05).There was no significant correlation between gender and multiple manipulative reduction(P >0.05).Age of onset,visit time after symptom onset and semicircular canal involvement were independent risk factors for multiple manipulative reduction.Conclusion Canalith manipulation repositioning maneuver is the most effective treatment for BPPV.Older age,longer visit time after symptom onset and multiple semicircular canal involvement can affect the effect of manipulation repositioning and increase the number of manipulation repositioning.

关 键 词：良性阵发性位置性眩晕 耳石复位 复位次数 危险因素 

分 类 号：R764.8[医药卫生—耳鼻咽喉科]