CAJ | 학술논문

目的：探讨良性阵发性位置性眩晕（BPPV）的临床特征，观察李氏复位法治疗BPPV的远期疗效。方法回顾分析2009年7月至2014年4月诊治的258例行李氏手法复位的单半规管BPPV患者的临床特征，并根据受累半规管的情况行李氏手法复位治疗，观察并分析远期疗效。本组资料中，后半规管BPPV72例（27.9%），水平半规管BPPV120例（46.5%），“上半规管”BPPV66例（25.6%）。结果258例患者随访1周后痊愈196例（76.0%），有效45例（17.4%），无效17例（6.6%），总有效241例（93.4%）；随访3月后痊愈209例（81.0%），有效15例（5.8%），无效15例（5.8%），复发19例（7.4%），总有效224例（86.8%）。其中经1次李氏手法复位后痊愈者163例（63.2%），有效80例（31.0%），无效15例（5.8%），1次复位总有效率为94.2%。各种类型半规管BPPV患者之间的远期总有效率无统计学差异。结论应用李氏手法复位法对BPPV患者进行治疗，疗效确切，且不需要判断眼震的有无及方向，操作简洁，过程迅速，可在临床应用。
목적：탐토량성진발성위치성현훈（BPPV）적림상특정，관찰리씨복위법치료BPPV적원기료효。방법회고분석2009년7월지2014년4월진치적258례행리씨수법복위적단반규관BPPV환자적림상특정，병근거수루반규관적정황행리씨수법복위치료，관찰병분석원기료효。본조자료중，후반규관BPPV72례（27.9%），수평반규관BPPV120례（46.5%），“상반규관”BPPV66례（25.6%）。결과258례환자수방1주후전유196례（76.0%），유효45례（17.4%），무효17례（6.6%），총유효241례（93.4%）；수방3월후전유209례（81.0%），유효15례（5.8%），무효15례（5.8%），복발19례（7.4%），총유효224례（86.8%）。기중경1차리씨수법복위후전유자163례（63.2%），유효80례（31.0%），무효15례（5.8%），1차복위총유효솔위94.2%。각충류형반규관BPPV환자지간적원기총유효솔무통계학차이。결론응용리씨수법복위법대BPPV환자진행치료，료효학절，차불수요판단안진적유무급방향，조작간길，과정신속，가재림상응용。
Objective To study clinical features of benign paroxysmal positional vertigo (BPPV) and to assess long term outcomes of the Li repositioning maneuver in treating patients with BPPV. Methods Clinical manifestations of 258 patients (86 males and 172 females, aged from 13 to 84 years, median=52 years) with single semicircular canal BPPV treated with the Li repositioning maneuver from July 2009 to April 2014 were analyzed retrospectively. The course of disease ranged from half day to 10 years (median = 8.5 days). BPPV was determined to involve the posterior semicircular canal in 72 cases (27.9%), the horizontal semicir-cular canal in 120 cases (46.5%) and the“anterior semicircular canal”in 66 cases (25.6%). Results At one week follow up, symptoms were completed resolved in 196 patients (76.0%), improved in 45 patients (17.4%) and unchanged in 17 patients (6.6%). At 3 months, symptoms remained resolved in 209 patients (81.0%), improved in 15 patients (5.8%) and unchanged in 15 patients (5.8%);and had recurred in 19 patients (7.4%). The short and long term overall effective rates were 93.4%and 86.8%, respectively. After a single session of Li repositioning maneuver, symptoms resolved in 163 patients (63.2%), improved in 80 patients (31.0%) and remained unchanged in 15 patients (5.8%), yielding an overall one session effective rate of 94.2%. The overall long term effective rate was not different when compared among various semicircular ca-nal origins (p>0.05), and similar with results reported in previous studies. Conclusion The Li repositioning maneuver is an effective and simple treatment for patients with BPPV and can be administered in office.