摘要
目的:探讨良性阵发性位置性眩晕(BPPV)患者的发病特点及临床特征,观察并分析手法复位的疗效。方法:回顾分析384例BPPV患者的发病特点及临床特征,并根据受累半规管的情况行手法复位治疗,观察并分析其疗效。结果:(1)384例患者中,后半规管BPPV(PC-BPPV)331例(86.20%),水平半规管BPPV(HC-BPPV)47例(12.24%),上半规管BPPV(AC-BPPV)3例(0.78%),混合半规管BPPV 3例(0.78%)。(2)384例BPPV患者均行手法复位治疗,PC-BPPV首次有效率为93.66%,远期(半年)有效率96.68%;HC-BPPV首次有效率91.49%,远期(半年)有效率95.74%;AC-BPPV首次和远期(半年)有效率均为66.67%;混合型半规管BPPV首次和远期(半年)有效率均为66.67%。(3)PC-BPPV 331例中,管结石症319例(96.37%),嵴帽结石症12例(3.63%)。HC-BPPV 47例中,管结石症37例(78.72%),嵴帽结石症10例(21.28%)。(4)在半年随访期间,复发49例,复发率12.76%。结论:(1)广西BPPV患者在发病年龄、男女占比、各半规管发病率与文献报道相近或相符,地域和民族因素并未影响上述结果。(2)手法复位治疗BPPV疗效好、见效快、方法简单,是治疗BPPV的最佳方法。(3)BPPV患者复位治疗后复发率较高。
Objective： To study the disease characteristics in cases with benign paroxysmal positional vertigo （BPPV）. Method.The characteristics and clinical features of 384 cases with BPPV were retrospectively analyzed, and all cases were treated with repositioning maneuver. The treatment outcomes were observed and analyzed during the follow-up period. Rcsult：（1）Of the 384 eases, 331 （86. 20%） cases were PC-BPPV, 47（12. 24%） cases were HC-BPPV and 3（0.78%） cases were AC-BPPV, 3（0.78%） cases were combined semicircular canal BPPV. （2）All cases underwent repositioning maneuver, PC-BBPV cases first efficiency was 93.66 %, long-term （six months） ef- ficiency was 96. 68%; HC-BBPV cases first efficiency was 91. 49%, long-term （six months） efficiency was 95.74 % ;AC-BPPV cases first efficiency and long-term efficiency were 66.67 % ;combined semicircular canal BPPV cases first efficiency and long-term efficiency were 66.67%. （3）Among 331 cases with PC-BBPV, cases diagnosed duct stones accounted for 96.37% ,eases diagnosed crest stones accounted for 3.63%. Among 47 cases with HC- BBPV, cases diagnosed duct stones accounted for 78.72% ,cases diagnosed crest stones accounted for 21.28%. （4） During the follow-up of six months, the recurrence rate was 12.76% （49/384）. Conclusion： （1）In BPPV cases of Guangxi,the ratio of male and female,age of onset and the incidence of BPPV in each semicircular canal are con- sistent with other literatures. Geographical and ethnic factors do not affect the above results. （2）Repositioning ma- neuver is an simple and effective treatment for cases with BPPV. （3）There is higher recurrence rate in cases with BPPV after repositioning maneuver.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2017年第8期601-605,共5页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
广西自然科学基金(No:2015GXNSFAA414004
2016GXNSFAA380150)
关键词
眩晕
手法复位治疗
治疗结果
vertigo
repositioning maneuver
treatment outcome
