CAJ | 학술논문

目的：总结李氏复位法、Epley法和Semont法三种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2011年1月至2013年1月收治的78例BPPV患者随机分为3组，分别采用李氏法、Epley法和Sement法进行治疗，评定其疗效，随访6个月。结果三种方法治疗有效率在治疗后1、2、6个月时差异无统计学意义（P>0.05）。患者随访6个月，均无复发。治疗过程中仅3例出现呕吐，休息后好转。结论三种方法治疗有效率相近（P>0.05），治疗时可依据患者情况选择不同复位法。
목적：총결리씨복위법、Epley법화Semont법삼충수법복위치료량성진발성위치성현훈（BPPV）환자적료효。방법장2011년1월지2013년1월수치적78례BPPV환자수궤분위3조，분별채용리씨법、Epley법화Sement법진행치료，평정기료효，수방6개월。결과삼충방법치료유효솔재치료후1、2、6개월시차이무통계학의의（P>0.05）。환자수방6개월，균무복발。치료과정중부3례출현구토，휴식후호전。결론삼충방법치료유효솔상근（P>0.05），치료시가의거환자정황선택불동복위법。
Objiective To summarize the effect of three types of methods(Epley,s maneuver、semont,s maneuver and Lishi,s maneuver)in curring the benign paroxysmal positional vertigo(BPPV). Methods 78 patients with BPPV treated from January 2011 to January 2013 were divided into three groups randomly. Epley’s maneuver、semont’s maneuver and Lishi’s maneuver were used to treat the patients in the three groups respectively,and we evaluated the effect of the treatment and followed up the patients for 6 months. Results There was no significant difference in the three types of methods during 1 week,2 weeks and 6 months after treatment(P>0.05).the patients were followed for 6 months,during which no recurrence,Vomiting occurs in 3 patients,which was relieved by resting. Conclusions Epley’s maneuver、semont’s maneuver and Lishi’s maneuver have a similar effect in cu ring BPPV. We can choose different method according to the patient's situation during the course of treatment.