不同耳石复位法应用于良性阵发性位置性眩晕的临床效果分析

目的：分析不同耳石复位法治疗良性阵发性位置性眩晕（BPPV）的临床效果。方法资料随机选自2012年1月～2014年1月本院诊治的BPPV患者126例，按照完全随机法1∶1分成研究组和对照组各63例，63例对照组患者统一行Epley耳石复位法，45例研究组PC-BPPV患者行改良Epley耳石复位法，18例研究组HC-BPPV患者行Barbecue翻滚法，分析两组患者治疗后的临床效果、症状改善时间与复发次数。结果研究组患者复发率7.94%、PC-BPPV复发率6.67%与PC-BPPV复发率5.56%均比对照组23.81%、23.91%与23.53%低，差异有统计学意义（P＜0.05）；研究组的治疗次数（1.27±0.23）次、治疗1月的发作次数（1.28±0.31）次与治疗时间（5.06±3.12）d，均比对照组（2.34±0.46）次、（3.24±4.26）次与（8.87±3.29）d少，差异有统计学意义（P＜0.05）；研究组患者的眩晕、恐惧感、恶心呕吐、强迫体位改善时间比对照组低，治疗1月的前庭功能比治疗前与对照组均低，差异有统计学意义（P＜0.05）。结论改良Epley耳石复位法是PC-BPPV患者的临床有效治愈手段，Barbecue翻滚法是治疗HC-BPPV的可靠有效治疗方案，分型治疗可以有效改善BPPV临床疗效。

Analysis on clinical effect of different canalith repositioning procedures for benign paroxysmal and positional vertigo

Objective To analyze the clinical effect of different canalith repositioning procedures for benign paroxysmal and positional vertigo. Methods 126 cases with BPPV treated in our hospital from January 2012 to January 2014 were selected and divided into two groups according to random method 1：1, the research group and the control group, each group for 63 cases. The control group received Epley canalith repositioning procedure. 45 cases in the research group received improved Epley canalith repositioning procedure, and 18 cases in the research group received Barbecue tumbling method. The clinical effect, improvement time of symptoms and recurrence times of two groups was analyzed. Results The recurrence rate of the research group was 7.94%, the recurrence rate of PC-BPPV was 6.67%, and recurrence rate of PC-BPPV was 5.56%, and that of the control group was 23.81%, 23.91%and 23.53%, which had statistical significance（P〈0.05）. The treatment times of the research group was（1.27±0.23） times, the seizure times for 1 month of the research group was（1.28±0.31） times, the treatment time was （5.06±3.12） d, and that of the control group was（2.34±0.46）times,（3.24±4.26）times and （8.87±3.29）, which had statistical significance（P〈0.05）. The improvement time of vertigo, sense of fear, nausea and vomit and compulsive position in the research group was evidently lower than that of the control group. The vestibular function for treatment of 1 month was lower than that of the control group before treatment, which had statistical significance（P〈0.05）. Conclusion Improved Epley canalith repositioning procedure is the effective treatment method for patients with PC-BPPV, and Barbecue tumbling method is the reliable and effective treatment method treating HC-BPPV.Group treatment can evidently improve the clinical efficacy of BPPV.