Barbecue翻滚法治疗水平半规管良性发作性位置性眩晕有效性研究

The efficacy of Barbecue rotation therapy for horizontal semicircular canal benign paroxysmal positional vertigo

目的：评价Barbecue翻滚法和体位限制在治疗水平半规管良性发作性位置性眩晕（HC—BPPV）中的作用。方法：将HC-BPPV患者随机分成2组，复位组给予Barbecue翻滚法治疗加体位限制，对照组仅给予体位限制治疗。结果：复位组23例，对照组22例，第4天随访时复位组和对照组的治疗成功率分别为78．3％（18／23）和22．7％（5／22），两者相差显著（→^2=11．74，p〈0．005），第7天随访时，两者的成功率分别为82．6％（19／23）和31．8％（7／22），两者也相差显著（→^2=9．9，p〈0．005）。结论：Barbecue翻滚法治疗效果明显高于体位限制治疗，凡HC-BPPV诊断明确者均应给予Barbecue翻滚法治疗。

Objective： To assess the efficacy of Barbecue rotation therapy for horizontal semicircular canal benign paroxysmal positional vertigo（HC-BPPV）. Methods： Patients with unilateral HC-BPPV were randomly divided into 2 groups： repositioning group and control group, patients in repositioning group were received Barbecue rotation and postural restriction therapy, patients in control group were only received postural restriction therapy. Results： There were 23 patients in repositioning group and 22 patients in control group, The success rates in repositioning group and control group were 78.30% （18/23） and 22.70% （5/22） respectively in the fourth day＇s follow up, there was significant difference between the two rates （→^2=11.74, p〈0. 005 ） ,and in the seventh day＇s follow up, the two rates were 82.6% （19/23） and 31. 8% （7/22）, the difference was also significant （→^2 = 9.9, p〈0. 005） . Conclusion： The efficacy of Barbecue rotation was superior to postural restriction, and all patients should be treated for Barbecue rotation when the diagnosis of HC-BPPV was defined.