头部震荡法对于良性阵发性位置性眩晕治疗的临床意义

Clinical significance of head-shaking method in BPPV treatment

目的比较常规良性阵发性位置性眩晕(BPPV)复位法及头部震荡法+常规复位法治疗BPPV的疗效差异,得出后者可以提高BPPV的临床疗效。方法 750例患者采用常规耳石复位方法治疗750例患者,1226例患者采用头部震荡法+常规复位法,统计两部分患者的治疗次数。结果对于BPPV的患者采用头部震荡法+常规复位法治疗后,患者复诊的次数及复发的情况明显减少。结论头部震荡法可以提高BPPV(尤其前半规管和嵴顶结石型BPPV)的治疗效果。

Objective By comparing the difference of curative effect of BPPV routine repositioning maneuver and the head shaking method ＋ BPPV routine repositioning maneuver, to make the result that the latter one can increase the clinical curative effect. Methods 750 patients were treated with routine repositioning maneuver, and 1226 patients were treated with the head shaking method ＋routine method. The times of treatment of each group were counted up. Results After BPPV routine repositioning maneuver and the head shaking method ＋ BPPV routine repositioning maneuver, the therapeutic frequency of head-shaking ＋routine method group was significantly reduced. Conclusion The head-shaking method can imrove repositioning therapeutic effect of BPPV（especially the cupulolithiasis of BPPV）.