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.
引文
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