手法复位治疗后半规管良性阵发性位置性眩晕54例临床观察

李建军

（陕西省榆林市星元医院神内科，陕西 榆林，719000）

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摘要：

目的 比较手法复位与诱发体位训练在后半规管良性阵发性位置性眩晕中的临床效果及随访并发症发生情况。方法 选取2013年7月至2015年7月我院收治的54例后半规管良性阵发性位置性眩晕患者作为研究对象，随机分为对照组（24例）和观察组（30例），两组分别给予诱发体位训练与Epley手法复位治疗治疗。观察两组治疗效果、治疗次数、治疗后并发症、随访残留症状以及复发情况。结果 治疗后，观察组首次临床总有效率显著高于对照组（P<0.05）；观察组与对照组在 随访并发症发生率的比较上，差异无统计学意义（P>0.05）；观察组随访残留头晕症状比例显著低于对照组（P<0.05）。结论 对后半规管良性阵发性位置性眩晕患者，给予手法复位治疗的临床效果优于诱发体位训练治疗，治疗后并发症发生率及复发率 低，值得临床推广应用。

关键词：Epley手法复位；诱发体位训练；后半规管；良性阵发性位置性眩晕

中图分类号：R764文献标志码：A文章编号：2096-1413(2017)12-0153-02

Clinical observation of manual reduction treatment of 54 cases of posterior semicircular canal BPPV
LI Jian-jun
（Department of Neurology, Xingyuan Hospital of Yulin, Yulin 719000, China）

ABSTRACT：Objective To observe the clinical effect and complications in follow-up of manual reduction method in the treatment of posterior semicircular canal BPPV. Methods Fifty-four cases of posterior semicircular canal BPP patients from July 2013 to July 2015 in our hospital were selected and randomly divided into control group and observation group, with 24 cases in control group adopted induced position training treatment, while 30 cases in observation group were treated by Epley gimmick reset. The treatment effect, treatment time, treatment complications, follow-up treatment residual symptoms and relapses of the two groups were observed. Results After treatment, the first total effective rate of the observation group was significantly higher than that of the control group (P<0.05). The complication rates of the two groups has no statistically significant difference (P>0.05). The follow-up of residual dizzy symptoms scale of the observation group was significantly lower than that of the control group (P<0.05). Conclusion The use of manual reduction treatment has remarkable effect on posterior semicircular canal BPP, with low incidence of complication and low recurrence rate after treatment, which is worthy of clinical application.
KEYWORDS：epley gimmick reset; induce position training; posterior semicircular canal; BPPV

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