耳石复位对主观性良性阵发性位置性眩晕的疗效观察

目的探讨手法复位对主观性良性阵发性位置性眩晕(S-BPPV)的临床疗效。方法通过变位试验(Roll试验和Dix-hallpike试验)对50例诊断S-BPPV患者进行分型及侧别判定,对可能的后半规管S-BPPV患者采用Epley手法复位,对水平半规管S-BPPV患者采用Barbecue翻滚法复位,对混合型S-BPPV患者采用Epley手法联合Barbecue翻滚法复位,连续治疗3周,观察临床疗效及不良反应。结果 3周后随访时治愈38/50例(76%),有效46/50例(92%),无效4/50例(8%),无严重不良反应。结论根据典型病史及变位试验可判断S-BPPV的类型及侧别,给予相应的手法复位治疗效果显著、简便、安全,适于临床推广。

Clinical Efficacy of Otolith-repositioning Maneuver on Subjective Benign Paroxysmal Positional Vertigo

ABSTRACT AimTo evaluate the efficacy of otolith-repositioning maneuver on subjective benign paroxysmal positional vertigo (S-BPPV).MethodsFifty people who suffered from S-BPPV were determined the type and the laterality by Dix-Hallpike test and Roll test. Epley maneuver was used to reset possible posterior canal S-BPPV (SPC-BPPV), Barbecue maneuver was used to reset canalithiasis of horizontal semicircular canal S-BPPV(SHC-BPPV). Both of Epley maneuver and Barbecue maneuver were used to reset mixed S-BPPV.ResultsAfter 3 weeks of following up, 76% of patients (38/50) were cured, 92% (46/50) effective, while 8% (4/50) ineffective. None of them had obvious side effects.ConclusionThe types and the laterality of S-BPPV could determined by typical case histories and positional tests, and could be treated by otolith-repositioning maneuver with remarkable effect, simplity, safety and generalization.