摘要
目的分析经SRM-Ⅳ型眩晕诊疗系统治疗的良性阵发性位置性眩晕(BPPV)患者的临床特征。方法选取2020年8月24日-2021年8月24日就诊于我院眩晕诊疗室的BPPV患者,所有研究对象均通过SRM-Ⅳ型眩晕诊疗系统进行诊断和复位,分析研究对象性别、年龄、BPPV类型、眼震强度、复位次数、治愈情况。结果BPPV高发年龄段为50~59岁,女性多于男性,男女比为1∶1.98;后半规管BPPV、水平嵴帽BPPV、水平管结石BPPV、多管BPPV 1周内治愈率比较,差异无统计学意义(P>0.05);4种类型BPPV 1周内需多次复位率比较,差异有统计学意义(P<0.05);各类型耳石症中多管耳石需多次复位率最高,其次是水平管;复位过程中耳石可产生异常移位,后半规管耳石移位至同侧水平半规管居多。结论后半规管耳石多见,多管耳石及水平管耳石复位难度较其他类型大,复位过程耳石异常移位不可忽视,初始诱发眼震强度高的耳石可能更易移位。
Objective To analyze the clinical characteristics of benign paroxysmal positional vertigo(BPPV)patients treated with SRM-Ⅳvertigo diagnosis and treatment system.Methods The BPPV patients who were treated in the vertigo clinic of our hospital from August 24,2020 to August 24,2021 were selected.All the subjects were diagnosed and reset by the SRM-Ⅳvertigo diagnosis and treatment system.The gender,age,BPPV type,nystagmus intensity,reset frequency and cure rate of the subjects were analyzed.Results The high incidence age of BPPV was 50-59 years old,female was more than male,male to female ratio was 1∶1.98;the cure rates of posterior semicircular canal BPPV,horizontal crest BPPV,horizontal stone BPPV and multi-tube BPPV within one week were not statistically significant(P>0.05).There was a significant difference in the rate of multiple repositions within one week among the four types of BPPV(P<0.05).Among all types of otolith,the proportion of multiple repositions was the highest,followed by horizontal tubes.During the reduction process,otolith could produce abnormal displacement,and the posterior semicircular canal otolith was mostly displaced to the ipsilateral horizontal semicircular canal.Conclusion Posterior semicircular canal otolith is more common.The reduction of multicanal otolith and horizontal canal otolith is more difficult than that of other types.The abnormal displacement of otolith during reduction cannot be ignored.The otolith with high intensity of initial nystagmus may be more easily displaced.
作者
杨俊影
徐鹏程
张群
云宗金
YANG Jun-ying;XU Peng-cheng;ZHANG Qun;YUN Zong-jin(Department of Neurology,Fuyang Hospital of Anhui Medical University,Fuyang 236000,Anhui,China)
出处
《医学信息》
2021年第23期73-76,共4页
Journal of Medical Information
基金
安徽医科大学校科学研究基金(编号:2020xkj224)。
关键词
良性阵发性位置性眩晕
SRM-Ⅳ型眩晕诊疗系统
耳石症
耳石移位
复位
Benign paroxysmal positional vertigo
SRM-Ⅳvertigo diagnosis and treatment system
Otolithiasis
Ear stone displacement
Reset
