手法复位治疗老年人良性阵发性位置性眩晕的疗效分析

探讨老年人良性阵发性位置性眩晕（BPPV）的发病特点及手法治疗疗效.收集我院2011年1月至2012年6月接诊的47例BPPV老年患者,其中后半规管型BPPV 35例,采用Epley耳石复位;外半规管型BPPV 12例,采用Lempert翻滚复位法.患者在治疗1周及3个月后进行疗效评估.利用手法复位治疗后,首次治愈率91.5％ （43/47）,有效率8.5％ （4/47）,1周后对有效患者二次手法复位,均成功,3个月复查复发9例（19.1％）,均一次治愈.手法复位是治疗BPPV一种安全、有效的方法.

Efficacy analysis for Canalith repositioning of benign paroxysmal positional vertigo in elders

To explore the characteristics of benign paroxysmal positional vertigo （BPPV） and examine the efficacy of Canalith repositioning in elders. A retrospective study was carried out among 47 BPPV cases at our hospital from January 2011 to June 2012. Posterior semicircular canal received Epley maneuver （n = 35 ） and Lempert rolling for horizontal semicircular canal （n = 12 ）. Curative effect was evaluated after 1 week and 3 months. After Canalith repositioning, the initial success rate was 91.5% （43/47） and the effective rate 8.5% （4/47）. After 1 week, the success rate was 100%. Nine patients （19.1%） had recurrence in the same canal previously affected, and all improved with a new repositioning maneuver. Canalith repositioning is both safe and effective in the treatment of BPPV.