前庭功能诊治系统SRM-Ⅳ在良性阵发性位置性眩晕中的应用

目的观察全自动前庭功能诊治系统（SRM-Ⅳ）诊治良性阵发性位置性眩晕的临床效果。方法回顾分析了56例良性阵发性位置性眩晕患者,其中36例采用SRM-Ⅳ进行诊断和治疗,20例采用手法诊治,对其疗效进行比较。结果采用SRM-Ⅳ治疗的患者中第1次治疗后有32例患者（89%）治愈,4例患者经过第2次治疗痊愈;采用手法复位的患者中第1次治疗后有17例患者（85%）治愈,3例患者经过第2次治疗痊愈。应用χ2检验二者的差异没有统计学意义。结论应用全自动前庭功能诊治系统诊治良性阵发性位置性眩晕临床效果可靠,弥补了手法复位的缺陷,效果直观,可重复性强。

Application of an automatic vestibular function diagnosis and therapy system in benign paroxysmal positional vertigo

Objective To evaluate the utility of an automatic vestibular function diagnosis and therapy system (SRM-IV) in the management of benign paroxysmal positional vertigo (BPPV). Methods The SRM-IV was used in 36 patients diagnosed with BPPV, while another 20 BPPV patients received canalith repositioning (CRP) maneuver treatment. Results In the SRM-IV group, symptoms resolved after 1 session of treatment in 32 patients and after 2 sessions of treatment in 4 patients. In the CRP group, symptom resolution was achieved after 1 session of treatment in 17 patients and after 2 sessions of treatment in 3 patients. No statistically significant differences were demonstrated between the two groups when analyzed with chi-square (χ~2) test. Conclusion Automatic vestibular function diagnosis and therapy system can be reliably used for effective management of benign paroxysmal positional vertigo, and in complement to traditional CRP treatment.