改良Semont复位法治疗后半规管BPPV的短期临床效果随机对照研究

发布时间：2018-06-03 00:17

本文选题：眩晕 + 前庭疾病　；参考：《临床耳鼻咽喉头颈外科杂志》2017年19期

【摘要】：目的:观察改良Semont复位法治疗后半规管良性阵发性位置性眩晕(PC-BPPV)的短期疗效。方法:选取130例单侧PC-BPPV管石症患者的临床资料,将患者随机分成A、B两组,A组应用改良Semont复位法进行治疗,B组采用Epley复位法进行治疗,每次门诊治疗各采用相同复位法进行2次复位治疗,3d后及1周后进行门诊复查,记录治疗后的后遗症情况,同时分析2组患者复位治疗后的短期临床效果。结果:A组有5例患者随访失联,B组有3例因无法耐受复位过程而未完成治疗。A组患者3d及1周复查时存在后遗症的情况分别为27例和9例,而复位有效率分别为91.7%和98.3%;B组患者3d和1周复查时存在后遗症的情况分别为41例和15例,而复位有效率分别是91.9%和96.8%。2组之间3d和1周的后遗症情况以及复位治疗结果比较,差异均无统计学意义(P0.05)。结论:改良Semont复位法是一种治疗PC-BPPV可靠有效的治疗方法,且该方法操作简便,过程快速,无明显不良反应,可在临床推广应用。
[Abstract]:Objective: to observe the short-term effect of modified Semont reduction on posterior semicircular canal benign paroxysmal positional vertigo (PC-BPPV). Methods: 130 patients with unilateral PC-BPPV tracheolithiasis were randomly divided into two groups: group A treated with modified Semont reduction and group B treated with Epley reduction. Each outpatient treatment was treated with the same reduction method for 3 days and 1 week later. The sequelae of the two groups were recorded and the short-term clinical effects of the two groups were analyzed. Results the sequelae in group A (n = 5) and group B (n = 3) were followed up, and the sequelae were found in group A (n = 27) and in group A (n = 9) at 3 d and 1 week, respectively. The effective rate of reduction was 91.7% and 98.3B, respectively, and the sequelae were found in 41 cases and 15 cases at 3 days and 1 week after reexamination, respectively, while the reduction effective rate was 91.9% and 96.8.2% respectively. The sequelae of 3 days and 1 week and the results of reduction treatment were compared between the two groups. The difference was not statistically significant (P 0.05). Conclusion: the modified Semont reduction method is a reliable and effective method for the treatment of PC-BPPV.
【作者单位】：海军总医院全军耳鼻咽喉头颈外科中心;
【基金】：军队后勤科研基金资助项目(No:BWS14J***)
【分类号】：R764.3

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