中华耳科学杂志
中華耳科學雜誌
중화이과학잡지
CHINESE JOURNAL OF OTOLOGY
2010年
1期
86-89
,共4页
位置性眩晕%半规管%耳石%耳石复位
位置性眩暈%半規管%耳石%耳石複位
위치성현훈%반규관%이석%이석복위
Positional vertigo%Semicircular Canals%Otoliths%Canalith repositioning maneuvers
目的 探讨Epley与Semont联合手法复位治疗后半规管良性阵发性位置性眩晕(posterior semicircular canal benign paroxysman positional vertigo,PC-BPPV)的治疗效果.方法 对48例PC-BPPV患者随机分为单纯手法治疗(Epley管石复位法)与联合手法治疗(Epley加Semont联合复位法),观察治疗效果.结果 48例经1次手法复位治疗后症状消失或明显减轻,一次治疗有效率为83.3%,其中单纯组为78.3%,联合组为88.0%.无效患者继续重复相应手法治疗,至第三次复诊时统计总治疗有效率为93.8%,其中单纯组为91.3%,联合组为96.0%.随访3个月,共计有7例患者复发,总复发率为14.6%,其中单纯组为21.7%,联合组为8.0%.结论 Epley加Semont联合手法复位治疗PC-BPPV疗效显著,复发率低.
目的 探討Epley與Semont聯閤手法複位治療後半規管良性陣髮性位置性眩暈(posterior semicircular canal benign paroxysman positional vertigo,PC-BPPV)的治療效果.方法 對48例PC-BPPV患者隨機分為單純手法治療(Epley管石複位法)與聯閤手法治療(Epley加Semont聯閤複位法),觀察治療效果.結果 48例經1次手法複位治療後癥狀消失或明顯減輕,一次治療有效率為83.3%,其中單純組為78.3%,聯閤組為88.0%.無效患者繼續重複相應手法治療,至第三次複診時統計總治療有效率為93.8%,其中單純組為91.3%,聯閤組為96.0%.隨訪3箇月,共計有7例患者複髮,總複髮率為14.6%,其中單純組為21.7%,聯閤組為8.0%.結論 Epley加Semont聯閤手法複位治療PC-BPPV療效顯著,複髮率低.
목적 탐토Epley여Semont연합수법복위치료후반규관량성진발성위치성현훈(posterior semicircular canal benign paroxysman positional vertigo,PC-BPPV)적치료효과.방법 대48례PC-BPPV환자수궤분위단순수법치료(Epley관석복위법)여연합수법치료(Epley가Semont연합복위법),관찰치료효과.결과 48례경1차수법복위치료후증상소실혹명현감경,일차치료유효솔위83.3%,기중단순조위78.3%,연합조위88.0%.무효환자계속중복상응수법치료,지제삼차복진시통계총치료유효솔위93.8%,기중단순조위91.3%,연합조위96.0%.수방3개월,공계유7례환자복발,총복발솔위14.6%,기중단순조위21.7%,연합조위8.0%.결론 Epley가Semont연합수법복위치료PC-BPPV료효현저,복발솔저.
Objective To evaluate the effectiveness of combined Epley-Semont maneuver in treating posterior semicircular canal benign paroxysmal positional vertigo (PC-BPPV). Methods Forty eight patients with PC-BPPV were randomly selected to receive either the Epley canalith repositioning maneuver or combined Epley-Semont maneuver. Results All patients experienced complete resolution or significant improvement of vertigo symptoms after a single treatment session. The overall success rate after first treatment was 83.3% (78.3% for Epley maneuver only and 88% for combined Epley-Semont maneuver). The total success rate reached 93.85% (91.3% for Epley maneuver only and 96% for combined Epley-Semont maneuver) after 3 treatment sessions. Recurrence ocurred in 7 patients (14.6%, 21.7% for patients receiving Epley maneuver treatment and 8% for those receiving combined Epley-Semont maneuvers) during the 3 months follow-up period. Conclusion Combined Epley-Semont maneuver is safe and effective for PC-BPPV with low recurrence rate.
