后半规管良性发作性位置性眩晕变位性眼震与耳石复位法疗效及复发相关性研究

发布时间：2018-12-31 13:25

【摘要】：目的探讨单侧后半规管良性发作性位置性眩晕(PSC-BPPV)Dix-Hallpike试验诱发的眼震特点与耳石复位法(CRP)疗效及复发的相关性。方法单侧PSC-BPPV确诊后,记录Dix-Hallpike试验诱发的眼震持续时间和眼震频率,予以CRP治疗,确定入选病例,根据疗效分组:1循环痊愈入Ⅰ组,2~3循环痊愈入Ⅱ组,4~6循环痊愈入Ⅲ组,6循环仍未愈入Ⅳ组,随访12个月,分析相关性。结果 161例患者入该研究,4组例数分别为39、75、38和9。眼震持续时间各组间差异有统计学意义(F=302.901,P0.01),Ⅰ与Ⅱ组间差异无统计学意义(P=0.376),Ⅰ(或Ⅱ)、Ⅲ和Ⅳ组间差异有统计学意义(P0.01)。眼震频率各组间差异有统计学意义(F=10.526,P0.01),Ⅰ与其他3组间差异有统计学意义(P≤0.01)。随访后,35例复发,126例未复发;复发组与未复发组眼震持续时间差异无统计学意义(P0.05),眼震频率差异有统计学意义(P0.01)。4组复发率差异无统计学意义(P0.05)。结论单侧PSC-BPPV患者Dix-Hallpike试验时,眼震持续时间较短的,CRP疗效较好;眼震频率较快的,疗效较好;眼震频率慢的,12个月内容易复发。
[Abstract]:Objective to investigate the relationship between the characteristics of nystagmus induced by Dix-Hallpike test in unilateral posterior semicircular canal benign paroxysmal positional vertigo (PSC-BPPV) and the effect and recurrence of (CRP) with otolith reduction. Methods after unilateral PSC-BPPV was diagnosed, the duration of nystagmus and the frequency of nystagmus induced by Dix-Hallpike test were recorded. The selected cases were treated with CRP. According to the curative effect, the patients were divided into group 鈪，

本文编号：2396645