手法复位治疗23例良性阵发性位置性眩晕临床分析

发布时间：2018-03-30 19:11

本文选题：眩晕　切入点：前庭功能　出处：《吉林大学》2010年硕士论文

【摘要】： 眩晕是耳鼻咽喉-头颈外科常见的临床症状之一,随着人口老龄化的进展,本症发病率在日渐增高,受到国内外医务界广泛重视。近年来,随着眩晕的基础及临床研究日益深入,各种前庭功能检查仪器应运而生,大大丰富了眩晕诊断和治疗的内涵,使良性阵发性位置性眩晕等已由症状诊断发展为有特定名称、病理改变、诊断标准和系统内外科治疗的独立疾病。良性阵发性体位性眩晕是最常见的周围性眩晕,其治疗目前国际上主要采用手法复位治疗,其确切的疗效已被许多文献所验证,但仍有一些未解决的问题。本文的目的在于观察手法复位治疗良性阵发性位置性眩晕的疗效,探讨手法复位治疗良性阵发性位置性眩晕的机制和效果。本文收集2009年5月-2010年3月因眩晕就诊于吉林大学第一医院耳鼻咽喉-头颈外科,经前庭功能检查(眼震视图描记法的变位性眼震试验)结合患者病史确诊为良性阵发性位置性眩晕的23例患者,行手法复位1个月后随访所有病例,痊愈19例(82.61%),其中15例(78.95%)在首次治疗后即无复发,其余4例(21.05%)经间隔3～5天的2～3次手法复位痊愈;好转4例(17.39%);总有效率100%。痊愈的19例在1个月内随访中未曾复发。结果证明:手法复位治疗BPPV,大部分患者眩晕及眼震立即消失,安全且疗效显著,并可重复进行,无严重并发症,是其首选治疗方法。
[Abstract]:Vertigo is one of the common clinical symptoms in otolaryngal-head and neck surgery.In recent years, with the deepening of the basic and clinical studies of vertigo, various vestibular function examination instruments have emerged, which greatly enriched the connotation of diagnosis and treatment of vertigo.Benign paroxysmal positional vertigo has evolved from symptomatic diagnosis to independent diseases with specific names pathological changes diagnostic criteria and systemic internal and surgical treatment.Benign paroxysmal positional vertigo is the most common peripheral vertigo. At present, the treatment of benign paroxysmal positional vertigo is mainly treated by manual reduction in the world. Its exact effect has been verified by many literatures, but there are still some unsolved problems.The purpose of this paper is to observe the efficacy of manual reduction in the treatment of benign paroxysmal positional vertigo, and to explore the mechanism and effect of manual reduction in the treatment of benign paroxysmal positional vertigo.From May 2009 to March 2010, she was admitted to the Department of Otorhinolaryngology and head and neck surgery in the first Hospital of Jilin University for vertigo.23 patients with benign paroxysmal positional vertigo were diagnosed by vestibular function examination (transposition nystagmus test by nystagmus view method). All the patients were followed up after one month of manual reduction.The 19 cured patients did not recur during a 1 month follow-up.The results showed that manual reduction was the first choice for the treatment of BPPV.The vertigo and nystagmus of most of the patients disappeared immediately and were safe and effective and could be repeated without serious complications.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R764

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