中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
5期
46-48
,共3页
良性阵发性位置性眩晕%耳石%手法复位%体位限制
良性陣髮性位置性眩暈%耳石%手法複位%體位限製
량성진발성위치성현훈%이석%수법복위%체위한제
Benign paroxysmal positional vertigo%Otoliths%Repositioning maneuver therapy%Postural restriction therapy
[目的]评价手法复位治疗良性阵发性位置性眩晕(BPPV)患者的疗效.[方法] 将BPPV患者随机分成两组,复位组给予手法复位治疗,对照纽仅给予体位限制治疗.[结果]复位组63例,对照组60例,第4天随访时复位组和对照组的治疗成功率分别为82.5％(52/63)和18.3％(11/60),两组比较差异有统计学意义(x2=50.706,P＜0.01)；第7天随访时复位组和对照组的治疗成功率分别为92.1％(58/63)和31.6％(19/60),差异有统计学意义(x2=47.882,P＜0.01).[结论]手法复位治疗效果明显高于对照组,凡BPPV诊断明确如无禁忌证者均可给予手法复位.
[目的]評價手法複位治療良性陣髮性位置性眩暈(BPPV)患者的療效.[方法] 將BPPV患者隨機分成兩組,複位組給予手法複位治療,對照紐僅給予體位限製治療.[結果]複位組63例,對照組60例,第4天隨訪時複位組和對照組的治療成功率分彆為82.5％(52/63)和18.3％(11/60),兩組比較差異有統計學意義(x2=50.706,P＜0.01)；第7天隨訪時複位組和對照組的治療成功率分彆為92.1％(58/63)和31.6％(19/60),差異有統計學意義(x2=47.882,P＜0.01).[結論]手法複位治療效果明顯高于對照組,凡BPPV診斷明確如無禁忌證者均可給予手法複位.
[목적]평개수법복위치료량성진발성위치성현훈(BPPV)환자적료효.[방법] 장BPPV환자수궤분성량조,복위조급여수법복위치료,대조뉴부급여체위한제치료.[결과]복위조63례,대조조60례,제4천수방시복위조화대조조적치료성공솔분별위82.5％(52/63)화18.3％(11/60),량조비교차이유통계학의의(x2=50.706,P＜0.01)；제7천수방시복위조화대조조적치료성공솔분별위92.1％(58/63)화31.6％(19/60),차이유통계학의의(x2=47.882,P＜0.01).[결론]수법복위치료효과명현고우대조조,범BPPV진단명학여무금기증자균가급여수법복위.
[Objective]To assess the efficacy of repositioning maneuver therapy on benign paroxysmal positional vertigo (BPPV).Methods Patients with unilateral BPPV were randomly divided into two groups,repositioning group and control group.Patients in repositioning group received repositioning maneuver therapy and patients in control group only received postural restriction therapy.Results There were 63 patients in repositioning group and 60 patients in control group.The success rates in repositioning group and control group were 82.5％(52/63)and 18.3％(11/60)respectively on the fourth day,there was a significant difference between the two groups (x2=50.706,P＜0.01),and on the seventh day,the rates were 92.1％(58/63)or 31.6％(19/60),the difference was also significant (x2=47.882,P＜0.01).Conclusions The efficacy of repositioning maneuver therapy was superior to that of the control group.If no contraindications,all patients should be treated with repositioning maneuver therapy when the diagnosis of BPPV is definite.
