摘要
目的对水平规管良性阵发性位置性眩晕(HSC-BPPV)患者的眼震临床特征进行分析,根据眼震类型选择手法复位治疗,观察其疗效。方法根据典型的病史、在裸眼下观察Dix-Hallpike试验及滚转试验变位试验时眼震特征,对HSC-BPPV进行定侧和分型。将116例HSC-BPPV患者随机分为两组,每组58例。对照组所有患者均采用Barbecue翻滚法。研究组依据眼震特征采用相应的手法复位:①水平向地患者采用Barbecue翻滚法复位;②可转换为向地的水平眼震患者采用Asprella法结合改良Brandt-Daroff习服法复位;③不可转换为向地的水平眼震患者采用Gufoni法结合改良Brandt-Daroff习服法复位。结果对照组手法复位1周及3个月后总有效率分别为69.0%和77.6%;研究组手法复位1周及3个月后总有效率分别为87.9%和94.8%。其中:①水平向地组1周及3个月后总有效率分别为91.4%和94.3%;②可转换为向地组1周及3个月后总有效率分别为85.7%和100%,③不可转换为向地1周及3个月后总有效率分别为77.8%和89%,两组比较差异有统计学意义(P<0.05)。结论根据眼震类型选择手法复位治疗水平规管良性阵发性位置性眩晕,可提高疗效。
Objective To investigate the optimal repositioning maneuver therapy according to the type of nystagmus.Methods 116 HSC-BPPV patients, who were subtyped by the medical history, Dix-Hallpike testing and roll test confirming, were randomly divided into two groups. All patients in control group（n=58） were treated by Barbecue maneuver. While patients in research group were treated depend on the type of nystagmus. ① 35cases with Geotropic nystagmus were treated with Barbecue maneuver; ② 9 cases with Geotropic nystagmus which could not be transformed were treated with casani＋modified Brandt-Daroff maneuver; ③ 14 cases with apogeoteipic nystagmus were treated with Gufoni＋ Brandt-Daroff maneuver.Results The total improvement rates of control group were 69% after 1 week and 77.6% after 3 months, while the total improvement rates of research group were87.9% after 1 week and 94.8% after 1 week. Among the research groups, the improvement rates of patients with Geotropic nystagmus were 91.4% after 1 week and 94.3% after 3 months; the improvement rates of patients with Geotropic nystagmus which could not be transformed were 85.7% after 1 week and 100% after 3 months;the improvement rates of patients with apogeoteipic nystagmus were77.8% after 1 week and 89% after 3 months.Conclusion Suitable types of repositioning maneuver improve the efficacy on horizontal semicircular canal benign paroxysmal position vertigo.
出处
《中国实用医药》
2013年第28期20-22,共3页
China Practical Medicine
关键词
水平半规管
良性阵发性位置性眩晕
眼震类型
手法复位
Horizontal semicircular canal
Benign paroxysmal position evrtigo
Nystagmus
Repositioning maneuver
