384例良性阵发性位置性眩晕患者发病特点与临床分析

发布时间：2018-03-30 04:13

本文选题：眩晕　切入点：手法复位治疗　出处：《临床耳鼻咽喉头颈外科杂志》2017年08期

【摘要】：目的:探讨良性阵发性位置性眩晕(BPPV)患者的发病特点及临床特征,观察并分析手法复位的疗效。方法:回顾分析384例BPPV患者的发病特点及临床特征,并根据受累半规管的情况行手法复位治疗,观察并分析其疗效。结果:(1)384例患者中,后半规管BPPV(PC-BPPV)331例(86.20%),水平半规管BPPV(HC-BPPV)47例(12.24%),上半规管BPPV(AC-BPPV)3例(0.78%),混合半规管BPPV 3例(0.78%)。(2)384例BPPV患者均行手法复位治疗,PC-BPPV首次有效率为93.66%,远期(半年)有效率96.68%;HC-BPPV首次有效率91.49%,远期(半年)有效率95.74%;AC-BPPV首次和远期(半年)有效率均为66.67%;混合型半规管BPPV首次和远期(半年)有效率均为66.67%。(3)PC-BPPV 331例中,管结石症319例(96.37%),嵴帽结石症12例(3.63%)。HC-BPPV 47例中,管结石症37例(78.72%),嵴帽结石症10例(21.28%)。(4)在半年随访期间,复发49例,复发率12.76%。结论:(1)广西BPPV患者在发病年龄、男女占比、各半规管发病率与文献报道相近或相符,地域和民族因素并未影响上述结果。(2)手法复位治疗BPPV疗效好、见效快、方法简单,是治疗BPPV的最佳方法。(3)BPPV患者复位治疗后复发率较高。
[Abstract]:Objective: to investigate the clinical and clinical characteristics of benign paroxysmal positional vertigo (BPPV) patients, and to observe and analyze the curative effect of manual reduction. According to the condition of involved semicircular canal, manual reduction was performed to observe and analyze the curative effect. Posterior semicircular canal BPPV(PC-BPPV)331 (86.20), horizontal semicircular canal (BPPV(HC-BPPV)47) 12.24, upper semicircular canal (BPPV(AC-BPPV)3) 0.78, mixed semicircular canal (BPPV) 3 cases with BPPV 0.78 and 2384 patients with BPPV were treated with manual reduction. The first effective rate was 93.6666, the long-term (half year) effective rate was 96.68m HC-BPPV, the first effective rate was 91.49, and the long-term was 91.49 (P < 0.05). The first and long term effective rates of AC-BPPV were 66.67, and the first and long term effective rates of mixed semicircular canal BPPV were both 66.67%.(3)PC-BPPV 331 cases. Among the 319 cases of tubular calculi and 12 cases of crest cap stones, 37 cases (78.72%) and 10 cases of crest cap calculi (10 cases) had relapsed in 49 cases, with a recurrence rate of 12.766.Conclusion in Guangxi, there are 49 cases of BPPV patients in the age of onset, male to female ratio, the ratio of male to female, and the ratio of male to female in Guangxi, during the half year follow-up period, the recurrence rate is 12.760.Conclusion in Guangxi, the age of onset of BPPV is male to female, the ratio of male to female is male to female. The incidence of semicircular canal was similar to or consistent with the literature reports. The regional and ethnic factors did not affect the above results. 2) manual reduction had good curative effect, quick effect and simple method. It was the best method for the treatment of BPPV. The recurrence rate of patients with BPPV after reduction and treatment was higher.
【作者单位】：广西医科大学第二附属医院耳鼻咽喉-头颈外科;
【基金】：广西自然科学基金(No:2015GXNSFAA414004,2016GXNSFAA380150)
【分类号】：R764.3

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