良性阵发性位置性眩晕改良手法复位与诱发体位训练法的疗效比较

发布时间：2018-04-24 07:24

  本文选题：良性发作性位置性眩晕 + 位置试验　； 参考：《福建医科大学》2014年硕士论文

【摘要】：目的：前瞻性队列研究比较改良手法复位与诱发体位训练法对良性发作性位置眩晕的疗效。 方法：对2012年10月到2014年2月期间，在福建医科大学附属第二医院神经内科门诊及住院的120例良性发作性位置性眩晕患者按照随机原则进行分组，分为使用改良Epley手法治疗、使用改良Epley手法+诱发体位训练法、使用诱发体位训练法3组，给予不同的治疗，观察疗效。BPPV的诊断依据位置试验，分类主要根据诱发头位和眼球震颤方向。 结果：120例BPPV患者中后半规管103例（管结石症93例，嵴帽结石症10例），，水平半规管17例（管结石症15例，嵴帽结石症2例），上半规管管结石症0例。120例患者中，男性33例，女性87例，平均年龄(57±2.82)岁；后半规管眼震潜伏期(4.67±2.68)s,眼震持续时间(10.75±6.5) s；水平半规眼震潜伏期(5.32±3.33)s，眼震持续时间(10±5.86)s，两者的眼震潜伏期和眼震持续时间比较，差异无统计学意义(P=0.199和P=0.147)。120例患者中使用改良Epley手法治疗40例，首次治愈率82.50%；使用改良Epley手法+诱发体位训练法40例，首次治愈率80%；使用诱发体位训练法40例，首次治愈率35.00%；随访1周后治愈率分别为92.5%、92.5%、90%,随访3个月后3组治愈率分别为97.50%、100%、100%。 结论：手法复位治疗良性位置性眩晕效果显著，诱发体位训练法即刻治愈率稍差，但3个月治愈率与改良的Epley手法无明显差别，且远期的复发率更低。
[Abstract]:Objective: to compare the effect of modified manual reduction and induced posture training on benign paroxysmal positional vertigo in prospective cohort study. Methods: from October 2012 to February 2014, 120 patients with benign paroxysmal positional vertigo in the Department of Neurology, second affiliated Hospital of Fujian Medical University were divided into two groups according to the random principle. The modified Epley maneuver training method was used to induce postural position, and the three groups were treated with different treatments. The diagnosis of the therapeutic effect. BPPV was based on the location test. The classification was mainly based on the induced head position and the direction of nystagmus. Results there were 103 cases of posterior semicircular canal (93 cases of tubulolithiasis, 10 cases of cristolithiasis, 17 cases of horizontal semicircular canal disease (15 cases of tubeolithiasis, 2 cases of Cristolithiasis, 0 cases of upper semicircular canal calculi, 33 cases of male). The latency of posterior semicircular canal nystagmus was 4.67 卤2.68 s, the duration of nystagmus was 10.75 卤6.5) s, the latency of horizontal hemiformal nystagmus was 5.32 卤3.33 Ms, the duration of nystagmus was 10 卤5.86 Ms, the latency of nystagmus and the duration of nystagmus were compared between the two groups. There was no significant difference between the two groups. 40 cases were treated with modified Epley maneuver, the first cure rate was 82.50, 40 cases were treated with modified Epley manipulation, the first cure rate was 80%, and the induced posture training method was used in 40 cases. The first cure rate was 35.00, the cure rate was 92.5 and 92.5 after one week follow-up, and the cure rate in the three groups was 97.50 and 100 after 3 months follow-up. Conclusion: the therapeutic effect of manual reduction on benign positional vertigo is remarkable, and the immediate cure rate of induced posture training is a little poor, but the cure rate of 3 months is not significantly different from that of modified Epley manipulation, and the long-term recurrence rate is even lower.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R741.041


本文编号：1795698