神经损伤与功能重建
神經損傷與功能重建
신경손상여공능중건
NEURAL INJURY AND FUNCTIONAL RECONSTRUCTION
2014年
2期
130-134
,共5页
钟建斌%李协%钟思敏
鐘建斌%李協%鐘思敏
종건빈%리협%종사민
老年人%良性阵发性位置性眩晕%联合手法复位%安全性
老年人%良性陣髮性位置性眩暈%聯閤手法複位%安全性
노년인%량성진발성위치성현훈%연합수법복위%안전성
benign paroxysmal position vertigo%combined repositioning maneuver%safety
目的：研究老年良性阵发性位置性眩晕（BPPV）的联合手法复位治疗的有效性及安全性。方法：将32例水平半规管（HC）BPPV老年患者随机分为HC对照组和HC治疗组各16例，56例后半规管（PC）BPPV老年患者随机分为PC对照组和PC治疗组各28例。PC对照组采用Epley复位法治疗，PC治疗组采用Semont复位法联合Epley复位法治疗。HC对照组采用Barbecue复位法治疗，HC治疗组根据眼震发作形式采用不同的联合手法复位。结果：PC对照组1周及1月有效率为67.9%及89.3%，PC治疗组1周及1月有效率为92.9%及100.0%，差异有统计学意义（<0.05）。HC对照组1周及1月有效率为56.3%及68.8%，HC治疗组1周及1月有效率为87.5%及100.0%，差异有统计学意义（<0.05）。各组不良反应比较，未见明显差异。结论：老年BPPV联合复位治疗较单一手法复位治疗效果好，且安全有效。
目的：研究老年良性陣髮性位置性眩暈（BPPV）的聯閤手法複位治療的有效性及安全性。方法：將32例水平半規管（HC）BPPV老年患者隨機分為HC對照組和HC治療組各16例，56例後半規管（PC）BPPV老年患者隨機分為PC對照組和PC治療組各28例。PC對照組採用Epley複位法治療，PC治療組採用Semont複位法聯閤Epley複位法治療。HC對照組採用Barbecue複位法治療，HC治療組根據眼震髮作形式採用不同的聯閤手法複位。結果：PC對照組1週及1月有效率為67.9%及89.3%，PC治療組1週及1月有效率為92.9%及100.0%，差異有統計學意義（<0.05）。HC對照組1週及1月有效率為56.3%及68.8%，HC治療組1週及1月有效率為87.5%及100.0%，差異有統計學意義（<0.05）。各組不良反應比較，未見明顯差異。結論：老年BPPV聯閤複位治療較單一手法複位治療效果好，且安全有效。
목적：연구노년량성진발성위치성현훈（BPPV）적연합수법복위치료적유효성급안전성。방법：장32례수평반규관（HC）BPPV노년환자수궤분위HC대조조화HC치료조각16례，56례후반규관（PC）BPPV노년환자수궤분위PC대조조화PC치료조각28례。PC대조조채용Epley복위법치료，PC치료조채용Semont복위법연합Epley복위법치료。HC대조조채용Barbecue복위법치료，HC치료조근거안진발작형식채용불동적연합수법복위。결과：PC대조조1주급1월유효솔위67.9%급89.3%，PC치료조1주급1월유효솔위92.9%급100.0%，차이유통계학의의（<0.05）。HC대조조1주급1월유효솔위56.3%급68.8%，HC치료조1주급1월유효솔위87.5%급100.0%，차이유통계학의의（<0.05）。각조불량반응비교，미견명현차이。결론：노년BPPV연합복위치료교단일수법복위치료효과호，차안전유효。
ObjectiveTo study the efficacy and safety of combined repositioning maneuver in treating benign paroxysmal positional vertigo (BPPV) in old patients. Methods:Thirty-two aged patients with horizontal canal (HC) BPPV were randomly divided into HC-control group and HC-treating group equally. In parallel, 56 aged patients with posterior canal (PC) BPPV were randomly allocated to PC-control group and PC-treating group equally. The patients in the PC-control group only received Epley maneuver while the ones in the PC-treating group received combined Semont-Epley maneuver. The cases in the HC-control group only received Barbecue maneuver and the ones in the HC-treating group was given appropriate combined maneuver according to the type of nystagmus. Results:The total effective rate in the PC-control group was 67.9%after one week and 89.3%after one month;and the total effective rate in the PC-treating group was 92.9%after one week and 100.0%after one month. There was a significant difference between the two groups after one week and one month ( <0.05). The total effective rate in the HC-control group was 56.3%after one week and 68.8% after one month whereas the total effective rate in the HC-treating group was 87.5%after one week and 100.0%after one month. There was a significant difference between the two groups after one week and one month ( <0.05). No significant difference in complications was observed between the control group and treating group. Conclusion: Combined maneuver is superior to single maneuver. It is safe and effective to apply the appropriate repositioning maneuver in elderly patients with BPPV .
