改良式耳石复位法治疗良性阵发性位置性眩晕疗效观察

Observation of curative effect of modified canalith reposition on 48 cases with benign paroxysmal positional vertigo

分别采用三种不同改良式耳石复位法治疗良性阵发性位置性眩晕患者,治愈率达89.58%(43/48),有效率100%,随访1年复发率6.25%(3/48)。改良式耳石复位法治疗良性阵发性位置性眩晕无明显禁忌证,操作方法简单,无特殊不良反应,具有缓解症状迅速、治疗费用低、复发率低等优点,适宜临床推广应用。

Objective To investigate the therapeutic efficacy of the canalith repositioning maneuver in benign paroxysmal positional vertigo （BPPV）. Methods The modified Epley procedure, Semont maneuver and Barbecue maneuver were applied in 48 cases of BPPV. Followed for one year, the curative effects were observed. Results After treatment in modified canalith reposition, the recovery rate was 89.58% , and effective rate was 100% . Followed for one year, the recurrence rate was 6.25% . Conclusion Modified canalith reposition for BPPV has no contraindications, and no special adverse reactions. It is simple and can fastly relieve symptoms. The cost and recurrence rate are low. It is suitable for clinical application.