多轴旋转耳石复位系统治疗良性阵发性位置性眩晕的疗效观察

刘阳;黄永望;傅德慧;刘丽燕;高晓葳;王珊珊;

1:天津医科大学第二医院耳鼻喉科

摘要
目的评价多轴旋转耳石复位系统治疗良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)的疗效。方法将149例半规管型BPPV患者随机分为手法复位组(63例,其中后半规管BPPV 41例,水平半规管BPPV 22例)和多轴旋转耳石复位系统复位组(治疗椅复位组,86例,其中后半规管BPPV 63例,水平半规管BPPV 23例),分别行Epley法手法复位和多轴360°滚转治疗法治疗椅复位治疗,比较两组的一次复位治愈率及总治愈率。结果治疗椅复位组后半规管BPPV的一次复位治愈率和总治愈率分别为84.13%(53/63)、95.24%(60/63),手法复位组分别为75.61%(31/41)、87.80%(36/41),两组间差异均无统计学意义(P>0.05);治疗椅复位组水平半规管BPPV的一次复位治愈率和总治愈率分别为82.61%(19/23)、86.96%(20/23),手法复位组分别为54.55%(12/22)、59.09%(13/22),前者高于后者,差异均有统计学意义(P<0.05)。结论多轴旋转耳石复位系统对后半规管BPPV的治疗效果与手法复位相似,对水平半规管BPPV的治疗效果优于手法复位。
关键词
良性阵发性位置性眩晕;多轴旋转耳石复位系统;手法复位
基金项目(Foundation):
作者
刘阳;黄永望;傅德慧;刘丽燕;高晓葳;王珊珊;
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