中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2014年
1期
55-56
,共2页
眩晕%老年人
眩暈%老年人
현훈%노년인
Vertigo%Elders
探讨老年人良性阵发性位置性眩晕(BPPV)的发病特点及手法治疗疗效.收集我院2011年1月至2012年6月接诊的47例BPPV老年患者,其中后半规管型BPPV 35例,采用Epley耳石复位;外半规管型BPPV 12例,采用Lempert翻滚复位法.患者在治疗1周及3个月后进行疗效评估.利用手法复位治疗后,首次治愈率91.5％ (43/47),有效率8.5％ (4/47),1周后对有效患者二次手法复位,均成功,3个月复查复发9例(19.1％),均一次治愈.手法复位是治疗BPPV一种安全、有效的方法.
探討老年人良性陣髮性位置性眩暈(BPPV)的髮病特點及手法治療療效.收集我院2011年1月至2012年6月接診的47例BPPV老年患者,其中後半規管型BPPV 35例,採用Epley耳石複位;外半規管型BPPV 12例,採用Lempert翻滾複位法.患者在治療1週及3箇月後進行療效評估.利用手法複位治療後,首次治愈率91.5％ (43/47),有效率8.5％ (4/47),1週後對有效患者二次手法複位,均成功,3箇月複查複髮9例(19.1％),均一次治愈.手法複位是治療BPPV一種安全、有效的方法.
탐토노년인량성진발성위치성현훈(BPPV)적발병특점급수법치료료효.수집아원2011년1월지2012년6월접진적47례BPPV노년환자,기중후반규관형BPPV 35례,채용Epley이석복위;외반규관형BPPV 12례,채용Lempert번곤복위법.환자재치료1주급3개월후진행료효평고.이용수법복위치료후,수차치유솔91.5％ (43/47),유효솔8.5％ (4/47),1주후대유효환자이차수법복위,균성공,3개월복사복발9례(19.1％),균일차치유.수법복위시치료BPPV일충안전、유효적방법.
To explore the characteristics of benign paroxysmal positional vertigo (BPPV) and examine the efficacy of Canalith repositioning in elders.A retrospective study was carried out among 47 BPPV cases at our hospital from January 2011 to June 2012.Posterior semicircular canal received Epley maneuver (n =35) and Lempert rolling for horizontal semicircular canal (n =12).Curative effect was evaluated after 1 week and 3 months.After Canalith repositioning,the initial success rate was 91.5％ (43/47) and the effective rate 8.5％ (4/47).After 1 week,the success rate was 100％.Nine patients (19.1％) had recurrence in the same canal previously affected,and all improved with a new repositioning maneuver.Canalith repositioning is both safe and effective in the treatment of BPPV.
