CAJ | 학술논문

目的探讨手法复位治疗水平半规管良性位置性眩晕的疗效.方法对87例患者采用不同的手法复位:水平向地性眼震患者均接受Barbecue耳石复位治疗；背地性眼震患者采用Gufoni法、改良Semont解脱法及12小时强迫侧卧位法治疗；观察疗效.结果 70例水平向地性眼震患者采用Barbecue法复位1次治愈率88.6％.17例背地性眼震患者采用Gufoni法转换眼震方向,治愈5例,改良Semont解脱法治愈8例,强迫侧卧位法治愈1例,最终仍有3例背地性眼震患者未能治愈.结论对于水平半规管位置性眩晕,采用Barbecue手法复位双侧向地性眼震类型效果良好,而双侧背地性眼震手法复位相对困难,尚待进一步研究.
목적 탐토수법복위치료수평반규관량성위치성현훈적료효.방법 대87례환자채용불동적수법복위:수평향지성안진환자균접수Barbecue이석복위치료；배지성안진환자채용Gufoni법、개량Semont해탈법급12소시강박측와위법치료；관찰료효.결과 70례수평향지성안진환자채용Barbecue법복위1차치유솔88.6％.17례배지성안진환자채용Gufoni법전환안진방향,치유5례,개량Semont해탈법치유8례,강박측와위법치유1례,최종잉유3례배지성안진환자미능치유.결론 대우수평반규관위치성현훈,채용Barbecue수법복위쌍측향지성안진류형효과량호,이쌍측배지성안진수법복위상대곤난,상대진일보연구.
Objective To investigate the efficacy of repositioning maneuver for horizontal semicircular canal benign paroxysmal positional vertigo (HC-BPPV).Methods Barbecue maneuver was applied in 70 patients with bilateral geotropic nystagmus; Gufoni maneuver,modified Semont maneuver,and forced prolonged position were used in 17 patients with bilateral apogeotropic nystagmus.The efficacies were observed.Results The one-time recovery rate of Barbecue maneuver was 88.6％.5 patients with apogeotropic nystagmus were cured by switching to geotropic type after Gufoni maneuver.Eight patients with apogeotropic nystagmus who never switched to geotropic type became symptom-free after being treated with modified Semont maneuver,one patient who did not response to previous maneuver were cured after use of forced prolonged position,and 3 patients with apogeotropic nystagmus did not response to the therapy.Conclusions Barbecue maneuver is effective in the treatment of HC-BPPV with bilateral geotmpic nystagmus; but it is difficult to treat bilateral apogeotropic nystagmus with this maneuver.The maneuver remains to be further studied.