223例良性阵发性位置性眩晕手法复位疗效分析

Analyze the curative effect of manipulative reduction for 223 patients withbenign paroxysmal positional vertigo

目的分析223例良性阵发性位置性眩晕手法复位疗效。方法通过Dix-Hallpike试验和Roll试验诊断223例BPPV患者,后、前半规管BPPV采用Epley和Semont法复位,外半规管BPPV采用改良Barbecue翻滚法复位。结果后半规管BPPV 152例(68.16%),外半规管BPPV 60例(26.91%),前半规管BPPV 1例(0.45%),混合型10例(4.48%)。经一次复位成功的175例(78.48%),需多次复位成功的33例(17.79%),复位后复发的11例(4.93%),复位后耳石移位的3例(1.35%),多次复位不成功的1例(0.45%),总有效率99.55%。结论手法复位治疗BPPV安全有效,准确判断受累半规管及耳石类型是复位成功的关键。

Objective Analyze the curative effect of manipulative reductionfor 223 patients with benign paroxysmal positional vertigo.Methods All 223 patients were diagnosed by Dix-Hallpike test and Roll test,posterior and anteriorsemicircular canal BPPV patients accepted Epley and Semont reset,lateral semicircular canal BPPV patiens received modified Barbecue rotation reset.Results It＇s showed that 152 cases（68.16%） were posterior semicircular canal BPPV,60 cases（26.91%） were lateral semicircular canal BPPV,1 case（0.45%） was anterior semicircular canal BPPV and 10 cases（4.48%） were mixed type.175 cases（78.48%） were treated successfully after reset once,33 cases（17.79%） were resetsuccessfully more than once,11 casespalindromia（4.93%） were observed after reset,3 cases（1.35%） present otolith shift after reduction and 1 case（0.45%） was failed in reset.The total efficiency was 99.55%.Conclusions It is safe and effective for the application of manipulative reductionin the treatment of BPPV.The key step for sccessful reset was judgethe semicircular canal which was affected and the otolith types accurately.