不同方法治疗后半规管良性阵发性位置性眩晕疗效分析

The Effectiveness of Different Treatment on 263 Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo

田颖;崔潇;张涛;杨宁;惠莲;姜学钧;

1:中国医科大学附属第一医院耳鼻咽喉科

摘要
目的探讨分别采用Epley和Semont手法复位治疗后半规管良性阵发性位置性眩晕(PC-BPPV)的治疗效果。方法将263例PC-BPPV患者随机分为Epley治疗组(133例)与Semont治疗组(130例),分别采用Epley和Semon手法复位治疗,观察治疗效果。结果 263例经手法复位治疗一周后随访总有效率84.8%(223/263),其中Epley治疗组有效率为85.7%(114/133),Semont治疗组有效率为83.8%(109/130),3个月后随访总有效率92.4%(243/263),其中Epley治疗组有效率为91.7%(122/133),Semont治疗组有效率为93.1%(121/130)。随访中有21例患者复发,其中Epley组11例,Semon组10例,再次行手法复位治疗,眩晕症状仍可缓解。结论 Epley和Semon手法复位治疗PC-BPPV疗效明显,总体疗效差异无统计学意义。
关键词
眩晕;半规管;耳石;管石复位法;管石解脱法
基金项目(Foundation):
作者
田颖;崔潇;张涛;杨宁;惠莲;姜学钧;
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