期刊文献+

BPPV的临床特点及手法复位复发率分析 被引量:15

Clinical features and recurrence rate on benign paroxysmal positional vertigo
原文传递
导出
摘要 目的:探讨BPPV的临床特点及手法复位复发率。方法:回顾性分析735例BPPV患者的临床资料。后半规管BPPV(PC-BPPV)采用Epley复位法;水平半规管BPPV(HC-BPPV)采用Barbecue复位法;上半规管BPPV(AC-BPPV)采用Yacovino复位法;混合型BPPV采用Epley加Barbecue联合疗法;双侧病变者先复位较严重的一侧,待较严重一侧眼震或眩晕完全消失后,再复位症状较轻的一侧。结果:①735例BPPV患者中,PC-BPPV 455例(61.90%),HC-BPPV 272例(37.01%),AC-BPPV 3例(0.41%),混合型BPPV 5例(0.68%)。②735例BPPV患者电话随访到455例,3年内复发51例,复发率11.21%;男性复发率25.68%(38/148),女性复发率28.66%(88/307)。51~60岁复发人数最多,复发率29.67%。③PC-BPPV患者电话随访到300例,其中复发81例(27.00%),1个月、6个月、1年、2年、3年的复发率分别为0.67%(2/300)、3.33%(10/300)、6.67%(20/300)、9.33%(28/300)和11.67%(35/300);HC-BPPV患者电话随访到155例,其中复发45例(29.03%),1个月、6个月、1年、2年、3年的复发率分别为0(0/155)、2.58%(4/155)、3.23%(5/155)、7.10%(11/155)和9.68%(15/155)。结论:BPPV患者发病以PC-BPPV多见,手法复位能有效治疗BPPV,BPPV复发率与年龄、性别无关,PC-BPPV与HC-BPPV的远期复发率一致。 Objective:To study the characteristics and the recurrence rate of manual reduction of BPPV.Method:The clinical characteristics of 735 patients with BPPV were analyzed retrospectively.The posterior semicircular canal BPPV(PC-BPPV)was treated with the Epley maneuver therapy;the horizontal semicircular canal BPPV(HC-BPPV)was treated with the Barbecue therapy;the anterior semicircular canal BPPV(AC-BPPV)was treated with the Yacovino therapy;the combined semicircular canal was treated with the Epley and the Barbecue therapy;and for the bilateral lesions,first treat the more severe side with manual reduction then the lighter side was treated with manual reduction after the more severe side nystagmus or vertigo completely disappears.Result:①Of the 735 patients with BPPV,455(61.90%)were PC-BPPV,272(37.01%)were HC-BPPV,3(0.41%)were AC-BPPV,and 5(0.68%)were combined BPPV.②A total of 455 patients with BPPV were followed up by telephone.51 patients recurred within 3 years,the recurrence rate was 11.21%;the male recurrence rate was 25.68%(38/148),and the female recurrence rate was 28.66%(88/307).The recurrence rate was the highest in 51-60 years old,and the recurrence rate was 29.67%.③300 patients with PC-BPPV were followed up by telephone,81 cases(27.00%)recurred,and the recurrence rates of one month,six months,one year,two years,and three years were 0.67%(2/300),3.33%(10/300),6.67%(20/300),9.33%(28/300)and 11.67%(35/300)respectively;155 patients with HC-BPPV were followed up by telephone,45 cases(29.03%)recurred,the recurrence rates of one months,six months,one year,two years,and three years were 0(0/155),2.58%(4/155),3.23%(5/155),7.10%(11/155)and 9.68%(15/155)respectively.Conclusion:PC-BPPV is the most common disease in BPPV patients.Manual recurrence can effectively treat the recurrence rate of BPPV,female patients is slightly higher than that of male patients.The long-term recurrence rate of PC-BPPV is consistent with that of HC-BPPV.The BPPV were most common in posterior semicircular canal.Manual reduction is effective to treat BPPV cases.BPPV recurrence was not correlated with age and gender.The long-term recurrence rate of PC-BPPV and HC-BPPV is consistent.
作者 王宇晴 李进让 邹世桢 丁意丽 Wang Yuqing;Li Jinrang;Zou Shizhen;Ding Yili(Department of Otolaryngology Head and Neck Surgery,People's Liberation Army General Hospital Sixth Medical Center,Beijing,100048,China)
出处 《临床耳鼻咽喉头颈外科杂志》 CAS 北大核心 2019年第12期1185-1188,共4页 Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词 眩晕 半规管 手法复位 复发 vertigo semicircular canals manual reduction recurrence
  • 相关文献

参考文献10

二级参考文献58

  • 1无.良性阵发性位置性眩晕的诊断依据和疗效评估(2006年,贵阳)[J].中华耳鼻咽喉头颈外科杂志,2007,42(3):163-164. 被引量:770
  • 2中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉科学分会.良性阵发性位置性眩晕的诊断依据和疗效评估(2006年,贵阳)[J].中华耳鼻咽喉头颈外科杂志,2007,42(2):163~163.
  • 3吴子明,张素珍,刘兴健,陈曦,冀飞,陈艾婷,杨伟炎,韩东一.内耳病变并发良性阵发性位置性眩晕[J].中华耳鼻咽喉头颈外科杂志,2007,42(11):821-825. 被引量:58
  • 4Lee NH,Ban JH,Lee KC,et al.Benign paroxysmal positional vertigo secondary to inner ear disease[J].OtolaryngologyHead and Neck Surgery,2010,143:413.
  • 5von Brevern M,Radtke A,Lezius F,et al.Epidemiology of benign paroxysmal positional vertigo:apopulation based study[J].Journal of Neurology,Neurosurgery and Psychiatry,2007,78:710.
  • 6Bhattacharyya N,Baugh RF,Orvidas L,et al.Clinical practice guideline:benign paroxysmal positional vertigo[J].Otolaryngology-Head and Neck Surgery,2008,139:S47.
  • 7Snow JB Jr,Wackym PA.Ballenger耳鼻咽喉头颈外科学(李大庆,译)[M].第17版.北京:人民卫生出版社,2012.356-356.
  • 8Mizukoshi K,Watanabe Y,Shojaku H,et al.Epidemiological studies on benign paroxysmal positional vertigo in Japan[J].Acta Oto-laryngologica Supplementum,1988,447:67.
  • 9Oas JG.Benign paroxysmal positional vertigo:a clinician's perspective[J].Annals of the New York Academy of Sciences,2001,942:201.
  • 10Hughes CA,Proctor L.Benign paroxysmal positional vertigo[J].Laryngoscope,1997,107:607.

共引文献112

同被引文献158

引证文献15

二级引证文献40

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部