广州医药 ›› 2017, Vol. 48 ›› Issue (1): 50-52.DOI: 10.3969/j.issn.1000-8535.2017.01.013

• 论著 • 上一篇    下一篇

两种复位法治疗向地性眼震水平半规管良性阵发性位置性眩晕的临床疗效比较

李荧, 赵宏辉, 黄志爱, 陈宇鹏, 罗美, 张虹   

  1. 广州开发区医院耳鼻咽喉科(广州 510730)
  • 收稿日期:2016-10-26 发布日期:2021-12-01

Effect comparison of two different manual reduction in treatment of geotropic nystagmus horizontal semicircular canal benign paroxysmal positional vertigo

LI Ying, ZHAO Honghui, HUANG Zhiai, CHEN Yupeng, LUO Mei, ZHANG Hong   

  1. Departnent of Otolaryndogy, Guangzhou Development District Hopital, Cuangzhou 510730, China
  • Received:2016-10-26 Published:2021-12-01

摘要: 目的 探讨两种不同手法复位治疗向地性眼震水平半规管良性阵发性位置性眩晕的临床效果。方法 选取水平半规管良性阵发性位置性眩晕患者50例,分组进行不同手法复位治疗,短期治疗效果不佳者结合强迫长时间健侧卧位法治疗。结果 初次治疗360-Barbecue复位法组治愈率80%,Gufoni复位法组患者治愈率72%;两组患者结合强迫长时间健侧卧位法,第二天复查治愈率分别为92%和88%,两组比较差异无统计学意义(P>0.05)。结论 两种手法复位均能有效治疗向地性眼震水平半规管良性阵发性位置性眩晕,近期疗效相近,对于无效者结合FPP可增加治愈率。

关键词: BPPV, Barbecue复位法, Gufoni复位法, 强迫长时间侧卧位法

Abstract: Objective To study the effects of two different manual reduction of geotropic nystagmus horizontal semicircular canal benign paroxysmal positional vertigo. Methods 50 cases of patients with two different groups, treated with different manual reduction. Patients with short term treatment but ineffective were treated in combination with forced prolonged lateral position FPP. Results The cure rate of initial treatment in the 360-Barbecue manual reduction groups was 80%, the Gufoni manual reduction groups was 72%. As the patients combined with FPP, the cure rate was 92% and 88% respectively in the second day treatment. There was no significant difference between the two groups(P>0.05). Conclusion Both of the different manual reduction may effectively treat HC-BPPV. Their recent curative effect is similar. For ineffective cases may increase the cure rate combined with FPP.

Key words: Benign paroxysmal positionalvertigo BPPV, Barbecuemaneuver, Gufoni, Manual reduction, Forced prolonged position