摘要
目的:观察分析BPPV手法复位治疗长期随访的复发情况,明确手法复位治疗的长期疗效。方法:收集738例确诊为BPPV的患者资料,通过电话、短信等联系方式进行随访,分析并总结BPPV患者手法复位后长期随访的复发情况。结果:738例BPPV患者中,完成随访458例(62.06%),失访280例;458例随访患者包括314例未复发、144例复发(31.44%)。结论:手法复位是目前临床上治疗BPPV最常用的治疗方法,其具有安全、简单且疗效确切等特点,但经手法复位治愈的BPPV患者仍存在复发风险。在复发患者中,复位治疗后复发1次的患者比例最高,且BPPV的女性患者复发率要明显高于男性。
Objective:The aim of this study is to observe and analyze the long-term follow-up of the recurrence of benign paroxysmal positional vertigo BPPV with repositioning maneuver,and to determine the long-term therapeutic effect of repositioning maneuver.Method:To collect 738 patients who were diagnosed with BBPV due to vertigo.Follow up by telephone,SMS and other contact methods to analyze and summarize the long-term follow up of the recurrence of patients who had been treated with the appropriate repositioning maneuver.Result:Of the738 patients,458 patients were followed up and 280 were lost to follow up.The total follow up rate was 62.06%.458 patients were followed up with 314 patients without recurrence and 144 patients with recurrence.The total recurrence rate was 31.44%.Conclusion:Repositioning maneuver is the most commonly used way for the treatment of BPPV.It is safe,simple and effective.However,patients with BPPV who have been cured by manual reduction still have a risk of recurrence.Among patients with relapse,the proportion of patients who relapsed once after treatment was the highest,and the recurrence rate of women with BPPV was significantly higher than that of men.
作者
丁意丽
邹世桢
王宇晴
李进让
DING Yili;ZOU Shizhen;WANG Yuqing;LI Jinrang(Department of Otorhinolaryngology Head and Neck Surgery,PLA General Hospital No.6 Medical Center,Beijing,100048,China)
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2019年第8期761-764,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
眩晕
手法复位
疗效
vertigo
repositioning maneuver
treatment effect
