手法复位对位置性下跳眼震伴眩晕患者的临床疗效观察  

Clinical observation of repositioning maneuvers in the treatment of positional down beat nystagmus with vertigo

作　　者：徐雯琰 岳利峰 刘雪冰 姜辉[2] 黄丽贤[1] 李群先 Xu Wenyan;Yue Lifeng;Liu Xuebing;Jiang Hui;Huang Lixian;Li Qunxian(Department of Encephalopathy,Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 101100,China)

机构地区：[1]北京中医药大学东直门医院脑病科,101100 [2]北京中医药大学东方医院耳鼻喉科

出　　处：《北京医学》2024年第8期653-657,共5页Beijing Medical Journal

基　　金：第六批全国老中医药专家学术经验继承项目(20170615)。

摘　　要：目的探讨手法复位对位置性下跳眼震(positional down beat nystagmus,pDBN)伴眩晕患者的临床疗效。方法选取2019年1月至2023年12月北京中医药大学东直门医院通州院区pDBN伴眩晕患者33例,分析手法复位对pDBN伴眩晕患者的临床疗效。结果33例患者中,男13例、女20例,年龄22~79岁,平均(55.8±15.5)岁。18例患者手法复位治疗有效,Yacovino法的有效率为33.3%(11/33),Yacovino联合半Semont法的有效率为21.2%(7/33)。其中4例在治疗过程中转化为典型后半规管良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)。前半规管BPPV与对侧背地型后半规管BPPV的位置性眼震特点相似。结论Yacovino联合半Semont复位法可提高pDBN伴眩晕患者的诊断与复位治疗成功率。Objective To explore the effect of repositioning maneuvers on the treatment of positional down beat nystagmus(pDBN)with vertigo.Methods A total of 33 patients with pDBN accompanied with vertigo in Tongzhou Hospital of Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine from January 2019 to December 2023 were selected.The clinical effect of repositioning maneuvers on pDBN patients with vertigo was analyzed.Results Among 33 patients,there were 13 males and 20 females,aged from 22 to 79 years,with an average age of(55.8±15.5)years.Repositioning maneuvers was effective in 18 patients.The effective rate of Yacovino maneuver was 33.3%,and that of Yacovino combined with semi-Semont maneuver was 21.2%.A total of four patients converted to typical posterior semicircular canal benign paroxysmal positional vertigo(BPPV)during treatment.The positional nystagmosis features of anterior semicircular canal BPPV were similar to that of contralateral apogeotropic posterior semicircular canal BPPV.Conclusions Yacovino maneuver combined with semi-Semont maneuver can improve the success rate of diagnosis and reduction treatment in case with pDBN.

关 键 词：位置性下跳眼震 眩晕 Yacovino法 半Semont法 良性阵发性位置性眩晕 临床疗效 

分 类 号：R764[医药卫生—耳鼻咽喉科]