良性阵发性位置性眩晕复位后残余头晕的研究进展

Progress of Research on Residual Dizziness After Reduction of Benign Paroxysmal Positional Vertigo

良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)是最常见的外周前庭疾病。耳石复位目前是治疗BPPV最简单有效的方法,但仍有部分患者在成功复位后出现残余头晕(residual dizziness,RD),患者的身心健康和生活质量也会因此受到严重影响。残余头晕产生的原因及有效的治疗方法尚未完全明确。因此,本文对近年来有关残余头晕的文献进行了综述,着重分析总结了导致残余头晕的可能因素以及治疗的措施和方法,希望为BPPV患者复位后出现RD的规范化及个体化治疗提供参考。

Benign paroxysmal positional vertigo(BPPV) is the most common peripheral vestibular disease.Currently,otolith reduction is the most simple and effective way to treat BPPV,although some patients have residual dizziness(RD) after successful reduction,which can seriously affect the patient's physical and mental health as well as quality of life.At present,the causes of RD is not completely clear and there lack effective treatment methods.In this paper,literatures on RD in recent years are reviewed,and possible factors leading to RD as well as treatment methods analyzed and summarized,in a hope to provide basis for developing standardized and individualized treatments of RD after reduction of BPPV patients.