良性发作性位置性眩晕行管石复位治疗的效果分析

Analysis of Therapeutic Effect of Canalith Repositioning on Benign Positional Paroxysmal Vertigo

目的探讨管石复位法治疗良性复发性位置性眩晕（Benign paroxysmal positional vertigo,BPPV）的临床疗效。方法选取2012年1月~2013年12月收治的250例良性复发性位置性眩晕患者作为研究对象,其中后半规管性BPPV患者204例,水平半规管性BPPV患者46例。后半规管性BPPV患者行Epley法管石复位治疗,水平半规管性BPPV患者行Barbecue翻滚法管石复位治疗。分别与一周后及一个月后随访,记录患者治疗情况。结果一周后随访,后半规管性BPPV患者痊愈162例,好转30例,无效12例,总有效率为98.03%;水平半规管性BPPV患者痊愈31例,好转8例,无效7例,总有效率为95.65%;250例BPPV患者中总共有效率为92.40%。一个月后随访,后半规管性BPPV患者痊愈187例,好转12例,无效5例,总有效率为99.02%;水平半规管性BPPV患者痊愈39例,好转4例,无效3例,总有效率为97.83%;250例BPPV患者中总共有效率为96.80%。结论管石复位法操作简便,疗效明显,对治疗良性复发性位置性眩晕具有重大临床价值。

Objective To investigate the clinical efficacy of pipe rock reset metho of benign paroxysmal positional vertigo. Methods 250 cases of Benign paroxysmal positional vertigo selected in our hospital from January 2012 to De- cember 2013 as research subjects. The posterior semicircular canal BPPV patients of 204 cases, the horizontal semicircu- lar canal BPPV patients of 46 cases. Take the Epley to treat the posterior semicircular canal BPPV patient,and the Barbe- cue to treat the horizontal semicircular Canal BPPV patients. A week later, a month later folIowed up, record the patient＇ s treatment. Results Follow -up after a week, posterior semicircular canal BPPV patients recovered in 162 cases, im- provement in 30 cases, 12 cases ineffective, the total effective rate was 98.03 % ;Horizontal semicircular canal BPPV pa- tients recovered 31 cases, improvement in 8 cases, 7 cases, the total effective rate was 95. 65% ;The total effective rate was 92.40% in 250 patients with BPPV. Follow - up after a month, posterior semicircular canal BPPV patients recovered in 187 cases, 12 cases improved, invalid in 5 cases, the total effective rate was 99.02% ;Horizontal semicircular canal BPPV patients recovered 39 cases, improvement in 4 cases, 3 had no effect, the total effective rate was 97.83% ;The to- tal effective rate was 96. 80% in 250 patients with BPP~. Conclusions Pipe rock reset method is simple, the curative effect is obvious, position in treating benign recurrent vertigo has significant clinical value.