家庭改良Epley法与Semont法治疗后半规管良性阵发性位置性眩晕的效果比较

Comparison of home modified Epley maneuver and Semont maneuver in benign paroxysmal positional vertigo of the posterior semicircular canal

目的比较家庭改良Epley法与Semont法治疗后半规管良性阵发性位置性眩晕(BPPV)的疗效。方法100例后半规管BPPV患者随机采用Semont法或家庭改良Epley法治疗,比较两组疗效、残余症状发生率、眩晕残障量表(DHI)评分、视觉模拟量表(VAS)评分及严重不良反应。结果治疗1 d后,家庭改良Epley法组DHI、VAS、疗效明显优于Semont法组(P<0.01或0.05)。治疗1周后,家庭改良Epley法组残余症状明显低于Semont法组(P<0.05),但两组疗效比较差异无统计学意义(P>0.05)。结论家庭改良Epley法治疗BPPV具有较好效果,残余症状发生率较低。

Objective To compare the efficacy of home modified Epley maneuver(HMEM)and Semont maneuver in benign paroxysmal positional vertigo(BPPV)of the posterior semicircular canal.Methods One hundred patients with posterior semicircular canal BPPV were randomly treated with Semont maneuver or HMEM.Clinical efficacy,residual symptoms,dizziness handicap inventory(DHI),visual analogue scale(VAS),and serious adverse reactions were compared between two groups.Results At one day following therapy,DHI,VAS and clinical efficacy were superior in HMEM group to those in Semont maneuver group(P<0.01 or 0.05).At one week following therapy,residual symptoms were fewer in HMEM group(P<0.05),but clinical efficacy was comparable between two groups(P>0.05).Conclusion HMEM is effective in posterior semicircular canal BPPV with fewer residual symptoms.