耳石复位治疗水平半规管良性阵发性位置性眩晕的疗效分析
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摘要
目的探讨耳石复位治疗水平半规管良性阵发性位置性眩晕(HSC-BPPV)的临床疗效。方法回顾分析2014年6月~2016年6月期间河南省人民医院眩晕门诊收治的41例HSC-BPPV患者,根据红外线视频眼震电图分析位置试验诱发的眼震特点,确定受累的半规管,并给予相应的耳石复位治疗。结果(1)34例水平向地性眼震患者,采用Barbecue翻滚疗法,治疗1周、3个月后的总有效率分别为79.4%、88.2%。(2)7例水平背地性眼震患者,其中4例采用Gufoni法后转为水平向地性眼震,余3例方向不能转换,采用Barbecue翻滚疗法,治疗1周、3个月后的总有效率分别为42.8%、71.4%。(3)41例患者治疗1周、3个月后总有效率分别为73.1%、82.9%。结论根据不同的眼震特点,采取对应的耳石复位方法,治疗HSC-BPPV具有安全、快捷、有效、经济等特点。
Objective To evaluate the clinical efficacy of otolith reset for treatment of semicircular canal benign paroxysmal positional vertigo(HSC-BPPV).Methods The clinical data of 41 HSC-BPPV patients in Henan Province People's Hospital from June 2014 to June 2016 were retrospectively analyzed.The affected semicircular canals were identified by infrared video nystagmus analysis,and the corresponding reset of the nasal canal was performed.Results(1) For 34 patients with horizontal nystagmus,the total effective rate was 79.4% and 88.2% after 1 weeks and 3 months treatment with Barbecue tumbling therapy,respectively.(2) Of 7 patients with horizontal posterior nystagmus,4 of them were converted to horizontal nystagmus by Gufoni.The total effective rates of 1 weeks and 3 months after Barbecue treatment were 42.8% and 71.4%,respectively.(3) For the 41 patients,after 1 weeks and 3 months treatment,the total effective rates were 73.1% and 82.9%,respectively.Conclusion According to the characteristics of different nystagmus,treatment HSC-BPPV with corresponding reset for otolith was safe,quick,effective and economical.
Objective To evaluate the clinical efficacy of otolith reset for treatment of semicircular canal benign paroxysmal positional vertigo(HSC-BPPV).Methods The clinical data of 41 HSC-BPPV patients in Henan Province People's Hospital from June 2014 to June 2016 were retrospectively analyzed.The affected semicircular canals were identified by infrared video nystagmus analysis,and the corresponding reset of the nasal canal was performed.Results(1) For 34 patients with horizontal nystagmus,the total effective rate was 79.4% and 88.2% after 1 weeks and 3 months treatment with Barbecue tumbling therapy,respectively.(2) Of 7 patients with horizontal posterior nystagmus,4 of them were converted to horizontal nystagmus by Gufoni.The total effective rates of 1 weeks and 3 months after Barbecue treatment were 42.8% and 71.4%,respectively.(3) For the 41 patients,after 1 weeks and 3 months treatment,the total effective rates were 73.1% and 82.9%,respectively.Conclusion According to the characteristics of different nystagmus,treatment HSC-BPPV with corresponding reset for otolith was safe,quick,effective and economical.
引文
[1]Ko KM,Song MH,Kim JH,et al.Persistent spontaneous nystagmus following a canalith repositioning procedure in horizontal semicircular canal benign paroxysmal positional vertigo[J].JAMA Otolaryngol Head Neck Surg,2014,140(3):250-252.
[2]Moore BM Pt Dpt Ncs.Clinical decision-making to address poor outcomes in persistent horizontal semicircular canal benign paroxysmal positional vertigo:A case study[J].Physiother Theory Pract,2017,33(5):429-438.
[3]Zhu Q,Liu C,Lin C,et al.Efficacy and safety of semicircular canal occlusion for intractable horizontal semicircular benign paroxysmal positional vertigo[J].Ann Otol Rhinol Laryngol,2015,124(4):257-260.
[4]Ko KM,Song MH,Kim JH,et al.Persistent spontaneous nystagmus following a canalith repositioning procedure in horizontal semicircular canal benign paroxysmal positional vertigo[J].JAMA Otolaryngol Head Neck Surg,2014,140(3):250-252.
[5]Oh JH,Song SK,Lee JS,et al.Lying-down nystagmus and head-bending nystagmus in horizontal semicircular canal benign paroxysmal positional vertigo:are they useful for lateralization?[J].BMC Ophthalmol,2014,39(14):136.
[6]施天明,耿昱.水平半规管良性阵发性位置性眩晕诊治进展[J].中华耳鼻咽喉头颈外科杂志,2014,49(8):693-697.
[2]Moore BM Pt Dpt Ncs.Clinical decision-making to address poor outcomes in persistent horizontal semicircular canal benign paroxysmal positional vertigo:A case study[J].Physiother Theory Pract,2017,33(5):429-438.
[3]Zhu Q,Liu C,Lin C,et al.Efficacy and safety of semicircular canal occlusion for intractable horizontal semicircular benign paroxysmal positional vertigo[J].Ann Otol Rhinol Laryngol,2015,124(4):257-260.
[4]Ko KM,Song MH,Kim JH,et al.Persistent spontaneous nystagmus following a canalith repositioning procedure in horizontal semicircular canal benign paroxysmal positional vertigo[J].JAMA Otolaryngol Head Neck Surg,2014,140(3):250-252.
[5]Oh JH,Song SK,Lee JS,et al.Lying-down nystagmus and head-bending nystagmus in horizontal semicircular canal benign paroxysmal positional vertigo:are they useful for lateralization?[J].BMC Ophthalmol,2014,39(14):136.
[6]施天明,耿昱.水平半规管良性阵发性位置性眩晕诊治进展[J].中华耳鼻咽喉头颈外科杂志,2014,49(8):693-697.