手法复位结合侧卧法治疗水平半规管耳石症
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摘要
目的探讨手法复位结合强迫侧卧法治疗水平半规管耳石症(HC-BPPV)的临床疗效。方法对117例确诊为HC-BPPV的患者,采用Barbecue翻滚法和/或Gufoni法结合向健侧或患侧卧位法进行治疗。结果 117例患者经首次手法复位联合侧卧法后,分别于1天、1周、1月后复查。1天后复查,94例痊愈,14例有效,9例无效,治愈率80.3%,总有效率92.3%。1周后复查,101例痊愈,10例有效,6例无效,治愈率86.3%,总有效率94.8%。1月后复查,108例痊愈,6例有效,3例无效,治愈率92.3%,总有效率97.4%。结论手法复位结合体位治疗HC-BPPV疗效确切,对诊断明确的患者应作为首选治疗方法。
Objective To investigate the effect of manual reduction combining lying on side on patients with HC-BPPV. Methods 117 cases of patients with HC-BPPV were selected and treated with Barbecue or/and Gufoni combing lying on side. Results 117 patients were reexamined one day, one week and one month after the first manual reduction combing lying on side. 1 d after treatment, recovery 94 cases, efficacious 14 cases, invalid 9 cases, the curative ratio was 80.3%, the total effective rate was 92.3%, 1 week after treatment, recovery 101 cases, efficacious 10 cases, invalid 6 cases, the curative ratio was 86.3%, the total effective rate was 94.8%, 1 month after treatment, recovery 108 cases, efficacious 6 cases, invalid 3 cases, the curative ratio was 92.3%, the total effective rate was 97.4%. Conclusion The manual reduction combining lying on side have a great effect on patients with HC-BPPV and would be the first selection for treatment for HC-BPPV.
Objective To investigate the effect of manual reduction combining lying on side on patients with HC-BPPV. Methods 117 cases of patients with HC-BPPV were selected and treated with Barbecue or/and Gufoni combing lying on side. Results 117 patients were reexamined one day, one week and one month after the first manual reduction combing lying on side. 1 d after treatment, recovery 94 cases, efficacious 14 cases, invalid 9 cases, the curative ratio was 80.3%, the total effective rate was 92.3%, 1 week after treatment, recovery 101 cases, efficacious 10 cases, invalid 6 cases, the curative ratio was 86.3%, the total effective rate was 94.8%, 1 month after treatment, recovery 108 cases, efficacious 6 cases, invalid 3 cases, the curative ratio was 92.3%, the total effective rate was 97.4%. Conclusion The manual reduction combining lying on side have a great effect on patients with HC-BPPV and would be the first selection for treatment for HC-BPPV.
引文
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[10]姜树军,王恩彤,单希征.巴拉尼协会良性阵发性位置性眩晕诊断标准解读[J].北京医学,2016,38(8):847-849.
[11]鄢慧琴,王豪.合并前半规管的多半规管良性阵发性位置性眩晕[J].临床耳鼻咽喉头颈外科杂志,2018,32(3):228-230.
[12]刘博.以指南为导向加强良性阵发性位置性眩晕的规范化诊治[J].听力学及言语疾病杂志,2017,25(5):445-447.
[2]刘青,熊李,丁卫江,等.中国家族性良性阵发性位置性眩晕临床分析[J].中风与神经疾病,2017,34(7):633-636.
[3]洪渊,焉双梅,吴子明,等.水平半规管良性阵发性位置性眩晕[J].中华耳科学杂志,2016,14(4):490-494.
[4]孟静. EPLEY手法复位和Barbecue翻滚手法复位治疗耳石症临床效果比较[J].中国农村卫生,2017(12):14.
[5]张天琪,马大勇,刘岑.良性阵发性位置性眩晕诊治进展[J].中华耳科学杂志,2017,15(5):580-585.
[6]王海涛,杨艳春,王莹,等. Gufoni与Barbecue法治疗水平半规管向地性眼震良性阵发性位置性眩晕的疗效[J].中国老年学杂志,2016,36(9):2241-2242.
[7]杨晓凯,郑炎焱,杨晓国,等.外半规管良性阵发性位置性眩晕复位方法理论探讨[J].中国耳鼻咽喉头颈外科,2016,23(12):681-685.
[8]白文忠,王秋敏,刘萱,等.摇头变位试验在后半规管良性阵发性位置性眩晕诊断中的应用[J].听力学及言语疾病杂志,2017,25(4):430-432.
[9]李荧,赵宏辉,黄志爱,等.两种复位法治疗向地性眼震水平半规管良性阵发性位置性眩晕的临床疗效比较[J].广州医药,2017,48(1):50-52.
[10]姜树军,王恩彤,单希征.巴拉尼协会良性阵发性位置性眩晕诊断标准解读[J].北京医学,2016,38(8):847-849.
[11]鄢慧琴,王豪.合并前半规管的多半规管良性阵发性位置性眩晕[J].临床耳鼻咽喉头颈外科杂志,2018,32(3):228-230.
[12]刘博.以指南为导向加强良性阵发性位置性眩晕的规范化诊治[J].听力学及言语疾病杂志,2017,25(5):445-447.