中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
21期
16-19
,共4页
BPPV%Dix-Hallpike实验%Barbecue翻滚法%Epley耳石复位法
BPPV%Dix-Hallpike實驗%Barbecue翻滾法%Epley耳石複位法
BPPV%Dix-Hallpike실험%Barbecue번곤법%Epley이석복위법
BPPV%Dix-Hallpike experiment%Barbecue tumbling%Epley canalith repositioning procedure
目的：分析不同耳石复位法治疗良性阵发性位置性眩晕（BPPV)的临床效果。方法资料随机选自2012年1月~2014年1月本院诊治的BPPV患者126例，按照完全随机法1∶1分成研究组和对照组各63例，63例对照组患者统一行Epley耳石复位法，45例研究组PC-BPPV患者行改良Epley耳石复位法，18例研究组HC-BPPV患者行Barbecue翻滚法，分析两组患者治疗后的临床效果、症状改善时间与复发次数。结果研究组患者复发率7.94%、PC-BPPV复发率6.67%与PC-BPPV复发率5.56%均比对照组23.81%、23.91%与23.53%低，差异有统计学意义（P＜0.05）；研究组的治疗次数（1.27±0.23)次、治疗1月的发作次数（1.28±0.31）次与治疗时间（5.06±3.12）d，均比对照组（2.34±0.46）次、（3.24±4.26）次与（8.87±3.29）d少，差异有统计学意义（P＜0.05）；研究组患者的眩晕、恐惧感、恶心呕吐、强迫体位改善时间比对照组低，治疗1月的前庭功能比治疗前与对照组均低，差异有统计学意义（P＜0.05）。结论改良Epley耳石复位法是PC-BPPV患者的临床有效治愈手段，Barbecue翻滚法是治疗HC-BPPV的可靠有效治疗方案，分型治疗可以有效改善BPPV临床疗效。
目的：分析不同耳石複位法治療良性陣髮性位置性眩暈（BPPV)的臨床效果。方法資料隨機選自2012年1月~2014年1月本院診治的BPPV患者126例，按照完全隨機法1∶1分成研究組和對照組各63例，63例對照組患者統一行Epley耳石複位法，45例研究組PC-BPPV患者行改良Epley耳石複位法，18例研究組HC-BPPV患者行Barbecue翻滾法，分析兩組患者治療後的臨床效果、癥狀改善時間與複髮次數。結果研究組患者複髮率7.94%、PC-BPPV複髮率6.67%與PC-BPPV複髮率5.56%均比對照組23.81%、23.91%與23.53%低，差異有統計學意義（P＜0.05）；研究組的治療次數（1.27±0.23)次、治療1月的髮作次數（1.28±0.31）次與治療時間（5.06±3.12）d，均比對照組（2.34±0.46）次、（3.24±4.26）次與（8.87±3.29）d少，差異有統計學意義（P＜0.05）；研究組患者的眩暈、恐懼感、噁心嘔吐、彊迫體位改善時間比對照組低，治療1月的前庭功能比治療前與對照組均低，差異有統計學意義（P＜0.05）。結論改良Epley耳石複位法是PC-BPPV患者的臨床有效治愈手段，Barbecue翻滾法是治療HC-BPPV的可靠有效治療方案，分型治療可以有效改善BPPV臨床療效。
목적：분석불동이석복위법치료량성진발성위치성현훈（BPPV)적림상효과。방법자료수궤선자2012년1월~2014년1월본원진치적BPPV환자126례，안조완전수궤법1∶1분성연구조화대조조각63례，63례대조조환자통일행Epley이석복위법，45례연구조PC-BPPV환자행개량Epley이석복위법，18례연구조HC-BPPV환자행Barbecue번곤법，분석량조환자치료후적림상효과、증상개선시간여복발차수。결과연구조환자복발솔7.94%、PC-BPPV복발솔6.67%여PC-BPPV복발솔5.56%균비대조조23.81%、23.91%여23.53%저，차이유통계학의의（P＜0.05）；연구조적치료차수（1.27±0.23)차、치료1월적발작차수（1.28±0.31）차여치료시간（5.06±3.12）d，균비대조조（2.34±0.46）차、（3.24±4.26）차여（8.87±3.29）d소，차이유통계학의의（P＜0.05）；연구조환자적현훈、공구감、악심구토、강박체위개선시간비대조조저，치료1월적전정공능비치료전여대조조균저，차이유통계학의의（P＜0.05）。결론개량Epley이석복위법시PC-BPPV환자적림상유효치유수단，Barbecue번곤법시치료HC-BPPV적가고유효치료방안，분형치료가이유효개선BPPV림상료효。
Objective To analyze the clinical effect of different canalith repositioning procedures for benign paroxysmal and positional vertigo. Methods 126 cases with BPPV treated in our hospital from January 2012 to January 2014 were selected and divided into two groups according to random method 1:1, the research group and the control group, each group for 63 cases. The control group received Epley canalith repositioning procedure. 45 cases in the research group received improved Epley canalith repositioning procedure, and 18 cases in the research group received Barbecue tumbling method. The clinical effect, improvement time of symptoms and recurrence times of two groups was analyzed. Results The recurrence rate of the research group was 7.94%, the recurrence rate of PC-BPPV was 6.67%, and recurrence rate of PC-BPPV was 5.56%, and that of the control group was 23.81%, 23.91%and 23.53%, which had statistical significance(P<0.05). The treatment times of the research group was(1.27±0.23) times, the seizure times for 1 month of the research group was(1.28±0.31) times, the treatment time was (5.06±3.12) d, and that of the control group was(2.34±0.46)times,(3.24±4.26)times and (8.87±3.29), which had statistical significance(P<0.05). The improvement time of vertigo, sense of fear, nausea and vomit and compulsive position in the research group was evidently lower than that of the control group. The vestibular function for treatment of 1 month was lower than that of the control group before treatment, which had statistical significance(P<0.05). Conclusion Improved Epley canalith repositioning procedure is the effective treatment method for patients with PC-BPPV, and Barbecue tumbling method is the reliable and effective treatment method treating HC-BPPV.Group treatment can evidently improve the clinical efficacy of BPPV.
