本文選題：眩暈　切入點(diǎn)：手法復(fù)位治療　出處：《臨床耳鼻咽喉頭頸外科雜志》2017年08期

【摘要】：目的:探討良性陣發(fā)性位置性眩暈(BPPV)患者的發(fā)病特點(diǎn)及臨床特征,觀察并分析手法復(fù)位的療效。方法:回顧分析384例BPPV患者的發(fā)病特點(diǎn)及臨床特征,并根據(jù)受累半規(guī)管的情況行手法復(fù)位治療,觀察并分析其療效。結(jié)果:(1)384例患者中,后半規(guī)管BPPV(PC-BPPV)331例(86.20%),水平半規(guī)管BPPV(HC-BPPV)47例(12.24%),上半規(guī)管BPPV(AC-BPPV)3例(0.78%),混合半規(guī)管BPPV 3例(0.78%)。(2)384例BPPV患者均行手法復(fù)位治療,PC-BPPV首次有效率為93.66%,遠(yuǎn)期(半年)有效率96.68%;HC-BPPV首次有效率91.49%,遠(yuǎn)期(半年)有效率95.74%;AC-BPPV首次和遠(yuǎn)期(半年)有效率均為66.67%;混合型半規(guī)管BPPV首次和遠(yuǎn)期(半年)有效率均為66.67%。(3)PC-BPPV 331例中,管結(jié)石癥319例(96.37%),嵴帽結(jié)石癥12例(3.63%)。HC-BPPV 47例中,管結(jié)石癥37例(78.72%),嵴帽結(jié)石癥10例(21.28%)。(4)在半年隨訪期間,復(fù)發(fā)49例,復(fù)發(fā)率12.76%。結(jié)論:(1)廣西BPPV患者在發(fā)病年齡、男女占比、各半規(guī)管發(fā)病率與文獻(xiàn)報(bào)道相近或相符,地域和民族因素并未影響上述結(jié)果。(2)手法復(fù)位治療BPPV療效好、見效快、方法簡單,是治療BPPV的最佳方法。(3)BPPV患者復(fù)位治療后復(fù)發(fā)率較高。
[Abstract]:Objective: to investigate the clinical and clinical characteristics of benign paroxysmal positional vertigo (BPPV) patients, and to observe and analyze the curative effect of manual reduction. According to the condition of involved semicircular canal, manual reduction was performed to observe and analyze the curative effect. Posterior semicircular canal BPPV(PC-BPPV)331 (86.20), horizontal semicircular canal (BPPV(HC-BPPV)47) 12.24, upper semicircular canal (BPPV(AC-BPPV)3) 0.78, mixed semicircular canal (BPPV) 3 cases with BPPV 0.78 and 2384 patients with BPPV were treated with manual reduction. The first effective rate was 93.6666, the long-term (half year) effective rate was 96.68m HC-BPPV, the first effective rate was 91.49, and the long-term was 91.49 (P < 0.05). The first and long term effective rates of AC-BPPV were 66.67, and the first and long term effective rates of mixed semicircular canal BPPV were both 66.67%.(3)PC-BPPV 331 cases. Among the 319 cases of tubular calculi and 12 cases of crest cap stones, 37 cases (78.72%) and 10 cases of crest cap calculi (10 cases) had relapsed in 49 cases, with a recurrence rate of 12.766.Conclusion in Guangxi, there are 49 cases of BPPV patients in the age of onset, male to female ratio, the ratio of male to female, and the ratio of male to female in Guangxi, during the half year follow-up period, the recurrence rate is 12.760.Conclusion in Guangxi, the age of onset of BPPV is male to female, the ratio of male to female is male to female. The incidence of semicircular canal was similar to or consistent with the literature reports. The regional and ethnic factors did not affect the above results. 2) manual reduction had good curative effect, quick effect and simple method. It was the best method for the treatment of BPPV. The recurrence rate of patients with BPPV after reduction and treatment was higher.
【作者單位】： 廣西醫(yī)科大學(xué)第二附屬醫(yī)院耳鼻咽喉-頭頸外科;
【基金】：廣西自然科學(xué)基金(No:2015GXNSFAA414004,2016GXNSFAA380150)
【分類號】：R764.3

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本文編號：1684301