耳石手法复位治疗后半规管良性阵发性位置性眩晕

目的比较两种耳石手法复位治疗后半规管良性阵发性位置性眩晕(PC-BPPV)的疗效和安全性。方法 78例单侧PC-BPPV患者分为Ep ley手法治疗组和B randt手法治疗组。计算治疗后7 d、半个月的缓解率,观察治疗的不良反应。结果 Ep ley手法治疗组首次及2周的缓解率分别为61.9%、76.1%;B randt手法治疗组为66.6%、77.6%,两组比较差异无统计学意义。Ep ley手法治疗组出现不良反应7例,B randt手法治疗组出现不良反应3例。结论耳石手法复位治疗BPPV是一种非常有效的方法,B randt手法治疗操作更简单,容易被患者接受。

Repositioning procedure for treatment of posterior semicircular canal benign paroxysmal positional vertigo

Objective To compare the efficacy and the safety between Epley procedure and Brandt procedure in patients with posterior semicircular canal benign paroxysmal positional vertigo(PC-BPPV).Methods Seventy-eight patients with PC-BPPV were randomly divided into two groups: Epley(procedure) and Brandt(procedure) group.The remission rates after one week and two weeks were observed.Results The remission rate after one week was 61.9% in the Epley group and 66.6% in the Brandt procedure group,and was 76.1% and 77.6% after two weeks,respectively.There were side effects in seven cases in the Epley group and four cases in the Brandt group.Conclusion Brandt procedure is not only more convenient,but also easier to be received by patients with PC-BPPV.