中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
19期
73-73,76
,共2页
良性发作性位置性眩晕%手法复位%探讨
良性髮作性位置性眩暈%手法複位%探討
량성발작성위치성현훈%수법복위%탐토
Benign paroxysmal positional vertigo%Manipulative reduction%Discussion
目的：观察手法复位治疗后半规管良性发作性位置性眩晕的疗效。方法：分析64例后半规管良性发作性位置性眩晕患者的临床资料，对Dix-Hallpike试验阳性，眼震时间＜1 min患者采用Epley手法复位，眼震时间＞1 min患者采用Semont管石解脱法，治疗后评价疗效，3个月内随访。结果：46例患者1次复位治愈，10例患者2次复位治愈，4例患者3次复位治愈，无效4例。结论：手法复位治疗后半规管良性发作性位置性眩晕可取得立竿见影效果。
目的：觀察手法複位治療後半規管良性髮作性位置性眩暈的療效。方法：分析64例後半規管良性髮作性位置性眩暈患者的臨床資料，對Dix-Hallpike試驗暘性，眼震時間＜1 min患者採用Epley手法複位，眼震時間＞1 min患者採用Semont管石解脫法，治療後評價療效，3箇月內隨訪。結果：46例患者1次複位治愈，10例患者2次複位治愈，4例患者3次複位治愈，無效4例。結論：手法複位治療後半規管良性髮作性位置性眩暈可取得立竿見影效果。
목적：관찰수법복위치료후반규관량성발작성위치성현훈적료효。방법：분석64례후반규관량성발작성위치성현훈환자적림상자료，대Dix-Hallpike시험양성，안진시간＜1 min환자채용Epley수법복위，안진시간＞1 min환자채용Semont관석해탈법，치료후평개료효，3개월내수방。결과：46례환자1차복위치유，10례환자2차복위치유，4례환자3차복위치유，무효4례。결론：수법복위치료후반규관량성발작성위치성현훈가취득립간견영효과。
Objective:To explore the clinical effect of manipulative reduction for the treatment of posterior semicircular canal benign paroxysmal positional vertigo.Methods:64 patients with posterior semicircular canal benign paroxysmal positional vertigo were selected.The clinical data were retrospectively analyzed.According to the positive Dix-Hallpike test,patients with nystagmus time less than 1 minute were given Epley manipulative reduction,patients with nystagmus time more than 1 minute were given Semont pipe stone relief method.After treatment,we evaluated the efficacy,and they were followed up for 3 months.Results:46 patients were cured with 1 reduction,10 patients were cured with 2 reductions,4 patients were cured with 3 reductions,4 cases were invalid.Conclusion:Manipulative reduction for the treatment of posterior semicircular canal benign paroxysmal positional vertigo can achieve rapid effect.
