高龄良性阵发性位置性眩晕患者的临床特点及短期疗效分析
发布时间：2018-07-13 16:14
【摘要】：目的:通过回顾性分析高龄良性阵发性位置性眩晕(v-BPPV)患者的临床特点及预后,为治疗v-BPPV提供临床依据。方法:共纳入19例符合条件的v-BPPV患者,年龄80~91岁;诊断为水平半规管BPPV(HCBPPV)10例,后半规管BPPV(PC-BPPV)4例,多个半规管受累5例。根据对应半规管的耳石症采取相应的手法复位方式,诊断为PC-BPPV的患者采取Epley复位法或李氏复位法;诊断为HC-BPPV的患者采取Barbecue复位法或李氏复位法。治疗中进行2次复位,期间间隔5~10 min。结果:3d治愈率和有效率分别为63.16%和94.74%,1周治愈率和有效率分别为89.47%和100.00%。结论:通过正确的复位方法,v-BPPV患者也能取得良好的复位效果。年龄因素不会影响患者的预后,但应注意避免高龄患者由于自身身体状况或系统疾病可能给诊断和治疗带来的风险。
[Abstract]:Objective: to analyze the clinical characteristics and prognosis of elderly patients with benign paroxysmal positional vertigo (v-BPPV) and to provide clinical evidence for the treatment of v-BPPV. Methods: a total of 19 eligible v-BPPV patients, aged 80 to 91 years, were included, including 10 patients with horizontal semicircular canal BPPV (HCBPPV), 4 patients with posterior semicircular canal BPPV (PC-BPPV) and 5 patients with multiple semicircular canal involvement. The patients diagnosed as PC-BPPV were treated with Epley reduction or Lee's reduction, and those diagnosed with HC-BPPV were treated with Barbecue or Lee's reduction. Two repositions were performed during the treatment, with an interval of 5 to 10 minutes. Results the cure rate and effective rate were 63.16% and 94.74% respectively in 3 days and 89.47% and 100.005% in one week, respectively. Conclusion: the patients with v-BPPV can also get good reduction effect by correct reduction method. Age factors do not affect the prognosis of patients, but care should be taken to avoid the risk of diagnosis and treatment of elderly patients due to their own physical condition or systemic diseases.
【作者单位】： 海军总医院全军耳鼻咽喉头颈外科中心;
【基金】：军队后勤科研项目(No:BWS14J***)
【分类号】：R764.3
本文编号：2120005
[Abstract]:Objective: to analyze the clinical characteristics and prognosis of elderly patients with benign paroxysmal positional vertigo (v-BPPV) and to provide clinical evidence for the treatment of v-BPPV. Methods: a total of 19 eligible v-BPPV patients, aged 80 to 91 years, were included, including 10 patients with horizontal semicircular canal BPPV (HCBPPV), 4 patients with posterior semicircular canal BPPV (PC-BPPV) and 5 patients with multiple semicircular canal involvement. The patients diagnosed as PC-BPPV were treated with Epley reduction or Lee's reduction, and those diagnosed with HC-BPPV were treated with Barbecue or Lee's reduction. Two repositions were performed during the treatment, with an interval of 5 to 10 minutes. Results the cure rate and effective rate were 63.16% and 94.74% respectively in 3 days and 89.47% and 100.005% in one week, respectively. Conclusion: the patients with v-BPPV can also get good reduction effect by correct reduction method. Age factors do not affect the prognosis of patients, but care should be taken to avoid the risk of diagnosis and treatment of elderly patients due to their own physical condition or systemic diseases.
【作者单位】： 海军总医院全军耳鼻咽喉头颈外科中心;
【基金】：军队后勤科研项目(No:BWS14J***)
【分类号】：R764.3
【相似文献】
相关期刊论文 前1条
1 孟昭进;张建新;倪志军;彭新;王鹏;单希征;;上半规管良性阵发性位置性眩晕诱发试验的研究[J];中国耳鼻咽喉头颈外科;2014年04期
，本文编号：2120005
本文链接：https://www.wllwen.com/yixuelunwen/wuguanyixuelunwen/2120005.html
最近更新
教材专著
