摘要
目的探讨分别采用Epley和Semont手法复位治疗后半规管良性阵发性位置性眩晕(PC-BPPV)的治疗效果。方法将263例PC-BPPV患者随机分为Epley治疗组(133例)与Semont治疗组(130例),分别采用Epley和Semon手法复位治疗,观察治疗效果。结果 263例经手法复位治疗一周后随访总有效率84.8%(223/263),其中Epley治疗组有效率为85.7%(114/133),Semont治疗组有效率为83.8%(109/130),3个月后随访总有效率92.4%(243/263),其中Epley治疗组有效率为91.7%(122/133),Semont治疗组有效率为93.1%(121/130)。随访中有21例患者复发,其中Epley组11例,Semon组10例,再次行手法复位治疗,眩晕症状仍可缓解。结论 Epley和Semon手法复位治疗PC-BPPV疗效明显,总体疗效差异无统计学意义。
Objective To investigate the effectiveness of posterior semicircular canal benign paroxysmal posi- tional vertigo（PC-BPPV）by using Epley and Semont maneuver. Methods 263 patients with PC-BPPV were en- rolled and randomly divided into Epley treatment group and Semont treatment group. The effectiveness of two groups were compared. Results After 1 week the total improvement rate was 84.8%（223/263）, 85.7%（114/133） for Ep- ley maneuver and 83.8 % （109/130）for Semont maneuver. 3 months later the total improvement rate was 92.4 % （243/263）, 91.7%（122/133）for Epley maneuver and 93. 1%（121/130）for Semont maneuver. Recurrence occurred in 21 patients during the 3 months follow-up period. Conclusion Appropriate repositioning maneuver is a very ef- fective method for PC-BPPV patients who can shorten disease period and relief patients. There is no significant difference of the effectiveness between two groups.
出处
《听力学及言语疾病杂志》
CAS
CSCD
北大核心
2013年第3期235-238,共4页
Journal of Audiology and Speech Pathology
关键词
眩晕
半规管
耳石
管石复位法
管石解脱法
Vertigo
Semicircular canal
Otoliths
Epley maneuver
Semont maneuver
