手法复位治疗良性阵发性位置性眩晕临床特征分析-现代医学

手法复位治疗良性阵发性位置性眩晕临床特征分析

单位：深圳市罗湖区人民医院

分类号：

出版年·卷·期（页码）：2014·33·第七期（771-773）

摘要：

目的分析良性阵发性位置性眩晕（BPPV）的临床特点和手法复位疗法的有效性。方法回顾分析2010年8月到2013年4月确诊的92例良性阵发性位置性眩晕患者的临床诊治资料，根据体位诱发试验判断BPPV的临床类型，给予相应的手法复位治疗，并随访观察疗效。结果所有患者中，女性患者占60.9%，平均年龄（46.5±12.3）岁。其中55例单侧后半规管 BPPV 患者，30例单侧水平半规管 BPPV患者，前半规管和混合型 BPPV较少，其中尚有少数主观性BPPV患者。手法复位1周及3个月总有效率分别为85.9%和95.6%。结论 BPPV 患者有其自身的临床特征，临床实践中需注意与其他眩晕性疾病相鉴别，手法复位法疗效满意。

Objective To analyze clinical characteristics of benign paroxysmal positional vertigo (BPPV) validity of canalith repositioning procedure. Methods Clinical data of 92 cases with BPPV（treated between August 2010 and April 2013）were retrospectively analyzed. The appropriate repositioning maneuvers were performed after the types of BPPV were determined by positioning test.．The effectiveness was observed in the next week and three months after treatment. Results Of the 92 patients, 60.9% were female, with a mean age of （46.5±12.3）years. There were 55 patients with the posterior semicircular canal BPPV and 30 patients with horizontal semicircular canal BPPV. Symptoms were subjective in minority patients. The total effective rate were 85.9%(7 days) and 95.6%(3 months) respectively. Conclusion Patients with BPPV have various clinical characteristics. It is very important to distinguish BPPV with other positional vertigo. Favorable efficacy were achieved by maneuver reposition.

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