196例良性阵发性位置性眩晕的诊治体会.docVIP

精品论文 参考文献 196例良性阵发性位置性眩晕的诊治体会 1海洋石油总医院神经内科 300452 2天津海滨人民医院 神经内科 300452 ［摘要］目的 总结分析手法复位对良性阵发性位置性眩晕（BPPV）的临床表现和治疗效果。方法：收集2013年1月-2014年1月收治的196例BPPV患者的资料，根据病史问诊及变位试验诱发的眼震特点进行分型，分为垂直半规管、水平半规管及混合型半规管BPPV。对不同类型BPPV采用相应的耳石复位技术治疗，评价治疗后一周疗效，并随访3个月。眩晕或位置性眼震完全消失视为治愈，眩晕减轻或变位试验诱发仍有轻微眼震为有效，眩晕无减轻或位置性眼震无变化为无效。结果：本组患者经手法复位治疗一周后治愈162 例（82.7%），有效24例，有效率为94.9%；3个月治愈190 例（96.9%），有效4例，有效率为99.0%。结论：手法复位是治疗良性阵发性位置性眩晕的有效方法，且操作简单、安全。 关键词：良性阵发性位置性眩晕；手法复位 【中图分类号】R254.8【文献标识码】A【文章编号】1001-5213(2016)09-0155-02 Experience in Diagnosis and Treatment of 196 Patients with Benign Paroxysmal Positional Vertigo Neurology ,Dagang Oilfield General Hospital,Tianjin,China ZHANG Yu-xiang,TIAN Fang-qi,GU Hong-fei,MU Zheng-hong,LI Bin Abstract Objective：To review the clinical manifestation and treatment of positioning therapy results with benign paroxysmal positional vertigo(BPPV).Methods：The clinical data of 196 patients with BPPV from Jan 2013 to Jan 2014 were divided into 3 types based on history and nystagmus characteristics.They are vertical semicircular canal, horizontal semicircular canal and mixed semicircular canal BPPV. Using appropriate repositioning maneuvers for their treatment.Evaluate the effect of treatment after a week, and followed up for 3 months. Dizziness or position nystagmus completely disappear as a cure, dizziness ease or there is still a slight of nystagmus induced displacement test for effective, dizziness ease or no change position nystagmus as invalid. Results：When treated with particle positioning maneuver,cure occurred in 162 cases (82.7%) and effectiveness in 24 cases, with a total effective rate of 94.9%，After three months following, cure occurred in 190 cases (96.9%) and effectiveness in 4 cases, with a total effective rate of 99.0%，Conclusion：Canalith repositioning is an effective methods for patients with BPPV. safety and simple manipulation. Key words Benign paroxysmal positional vertigo;Canalith repositioning 良性阵发性位置性眩晕（BPPV）是外周性眩晕一种，是突发的、与体位变化相关的发作性眩晕，几乎占眩晕