咳嗽对良性阵发性位置性眩晕手法复位疗效的影响

发布时间：2018-06-28 19:15

  本文选题：眩晕 + 咳嗽　； 参考：《临床耳鼻咽喉头颈外科杂志》2014年01期

【摘要】：目的:分析患良性阵发性位置性眩晕(BPPV)的慢性咳嗽患者经手法复位治疗后的疗效,为BPPV的综合治疗及病因探索提供帮助。方法:分析2009-10-2012-12期间400例BPPV患者的治疗效果,包括观察患者的症状和行体位试验检查。结果:后半规管BPPV的一次治疗成功率为93.4%,水平半规管BPPV治疗成功率为83.0%。在400例BPPV患者中随访到372例,一次治疗成功的复诊患者中,有35例复位治疗好转后又出现阵发性眩晕发作,再次行手法复位仍取得良好效果。追问病史,有29例存在不同程度的咳嗽。控制咳嗽后再行手法复位治疗,眩晕症状消失,随访半年未再发作。结论:BPPV的发生机制可能与咳嗽所致的头部震动有关。
[Abstract]:Objective: to analyze the effect of manual reduction in chronic cough patients with benign paroxysmal positional vertigo (BPPV), and to provide help for the comprehensive treatment and etiological exploration of BPPV. Methods: the therapeutic effects of 400 BPPV patients in 2009-10-2012-12 were analyzed, including observation of symptoms and postural test. Results: the success rate of BPPV in posterior semicircular canal and horizontal semicircular canal was 93.4 and 83.0 respectively. Of the 400 cases of BPPV, 372 cases were followed up. Among the patients who were treated successfully, 35 cases had paroxysmal vertigo attack after the improvement of reduction treatment, and good results were still achieved by manual reduction again. Asked about the history of the disease, 29 cases had different degrees of cough. After controlling cough, the symptoms of vertigo disappeared and no recurrence occurred after half a year follow-up. Conclusion the mechanism of BPPV may be related to the head vibration caused by cough.
【作者单位】： 首都医科大学附属北京朝阳医院耳鼻咽喉-头颈外科;
【分类号】：R764.3

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