180°翻滚法与Barbecue法治疗水平半规管良性阵发性位置性眩晕疗效比较  

Comparison of curative effect between 180°rolling method and Barbecue method on horizontal semicircular canal benign paroxysmal positional vertigo

作　　者：赵颖 李伟 王利军 孙怡君 ZHAO Ying;LI Wei;WANG Lijun;SUN Yijun(Department of Otorhinolaryngology Head and Neck Surgery,Shijiazhuang People’s Hospital,Shijiazhuang 050000,China)

机构地区：[1]石家庄市人民医院耳鼻咽喉头颈外科,河北石家庄050000

出　　处：《中国耳鼻咽喉颅底外科杂志》2023年第4期40-44,共5页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：河北省医学科学研究课题计划(20201417)。

摘　　要：目的探讨应用180°翻滚法和Barbecue法治疗水平半规管良性阵发性位置性眩晕(HSC-BPPV)的疗效有无差别。方法将确诊的268例HSC-BPPV患者随机分为两组,分别应用Barbecue法(130例)和180°翻滚法(138例)比较两组疗效。结果两组第1、2、3次治愈率分别比较,差异无统计学意义(P>0.05);两组组内治疗前后分别进行眩晕残障评定量表(DHI)评分比较,差异具有统计学意义(P<0.05);两组组间治疗后进行DHI评分比较,差异无统计学意义(P>0.05);两组治愈后旋转试验眼震慢相速度不对称比判断半规管轻瘫(canal paresis,CP)值正常例数比较,差异无统计学意义(P>0.05)。结论对于HSC-BPPV患者,180°翻滚法与Barbecue法治愈率、治愈后DHI评分、治愈后旋转试验CP值正常例数比较均相当;180°翻滚法在临床中操作更为简单,更节约时间,值得推广。Objective To investigate the difference of curative effect between 180°rolling method and barbecue method in the treatment of horizontal semicircular canal benign paroxysmal positional vertigo(HSC-BPPV).Methods A total of 268 patients with HSC-BPPV were randomly divided into two groups to receive manipulative reduction of Barbecue method(n=130)or 180°rolling method(n=138).The curative effects of the two groups were compared.Results There were no significant differences in the first,second and third cure rates between the two groups(P>0.05).The Dizziness Handicap Inventory(DHI)score differences before and after treatment in both groups were statistically significant(P<0.05).Comparison of DHI scores between the two groups after treatment showed no statistical difference(P>0.05).There was no significant difference in the number of cases with normal canal paresis(CP)value in rotation test between the two groups after cure(P>0.05).Conclusions For patients with HSC-BPPV,the cure rate,DHI score after cure,and the number of cases with normal CP value of rotation test after cure are comparable between 180°rolling method and Barbecue method.And the 180°rolling method is more simple and time saving in clinical practice,which is worthy of promotion.

关 键 词：良性阵发性位置性眩晕 水平半规管 耳石症 180°翻滚法 Barbecue法 眩晕残障评定量表 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]