手法复位治疗良性阵发性位置性眩晕36例

目的 评价体位治疗在良性阵发性位置性眩晕（BPPV）的应用价值。方法 回顾性分析36例原发性或继发性BPPV的临床资料，后半规管BPPV采用改良Epley手法或Semont手法复位，水平半规管采用Barbecue翻滚疗法复位治疗，评价其治疗效果。结果 33例后半规管BPPV患者应用改良Epley手法或Semont手法复位，有效率为93.9%。3例水平半规管BPPV患者采取Barbecue翻滚法复位后症状均明显改善。结论 手法复位治疗良性阵发性位置性眩晕方法简单，疗效可靠，治愈率高。

Clinical analysis of 36 benign paroxysmal positional vertigo patients treated with positional maneuver

Objective To assess the therapeutic effect of positional maneuver in the treatment of benign paroxysmal positional vertigo (BPPV). Methods Thirty-six BPPV cases diagnosed on the basis of the Dix Hallpike test and roll-rock test were reviewed. All of the patients were treated with the Epley (canalith repositioning) maneuver, Semont (liberatory) maneuver or Barbecue maneuver. The therapeutic effects were evaluated. Results Thirty-three BPPV cases caused by lesion of the posterior semicicular canal were treated with the Epley or Semont maneuver. The effective rate in this subgroup was 93.9%. The other 3 cases caused by lesion of horizontal semicircular canal were treated with the Barbecue maneuver and symptoms improved after the treatment. Conclusions Positional maneuver is a simple, safe and effective way to treat benign paroxysmal positional vertigo. The procedures should be recommended.