【摘要】：目的:通過回顧性分析高齡良性陣發(fā)性位置性眩暈(v-BPPV)患者的臨床特點(diǎn)及預(yù)后,為治療v-BPPV提供臨床依據(jù)。方法:共納入19例符合條件的v-BPPV患者,年齡80~91歲;診斷為水平半規(guī)管BPPV(HCBPPV)10例,后半規(guī)管BPPV(PC-BPPV)4例,多個(gè)半規(guī)管受累5例。根據(jù)對(duì)應(yīng)半規(guī)管的耳石癥采取相應(yīng)的手法復(fù)位方式,診斷為PC-BPPV的患者采取Epley復(fù)位法或李氏復(fù)位法;診斷為HC-BPPV的患者采取Barbecue復(fù)位法或李氏復(fù)位法。治療中進(jìn)行2次復(fù)位,期間間隔5~10 min。結(jié)果:3d治愈率和有效率分別為63.16%和94.74%,1周治愈率和有效率分別為89.47%和100.00%。結(jié)論:通過正確的復(fù)位方法,v-BPPV患者也能取得良好的復(fù)位效果。年齡因素不會(huì)影響患者的預(yù)后,但應(yīng)注意避免高齡患者由于自身身體狀況或系統(tǒng)疾病可能給診斷和治療帶來的風(fēng)險(xiǎn)。
[Abstract]:Objective: to analyze the clinical characteristics and prognosis of elderly patients with benign paroxysmal positional vertigo (v-BPPV) and to provide clinical evidence for the treatment of v-BPPV. Methods: a total of 19 eligible v-BPPV patients, aged 80 to 91 years, were included, including 10 patients with horizontal semicircular canal BPPV (HCBPPV), 4 patients with posterior semicircular canal BPPV (PC-BPPV) and 5 patients with multiple semicircular canal involvement. The patients diagnosed as PC-BPPV were treated with Epley reduction or Lee's reduction, and those diagnosed with HC-BPPV were treated with Barbecue or Lee's reduction. Two repositions were performed during the treatment, with an interval of 5 to 10 minutes. Results the cure rate and effective rate were 63.16% and 94.74% respectively in 3 days and 89.47% and 100.005% in one week, respectively. Conclusion: the patients with v-BPPV can also get good reduction effect by correct reduction method. Age factors do not affect the prognosis of patients, but care should be taken to avoid the risk of diagnosis and treatment of elderly patients due to their own physical condition or systemic diseases.
【作者單位】： 海軍總醫(yī)院全軍耳鼻咽喉頭頸外科中心;
【基金】：軍隊(duì)后勤科研項(xiàng)目(No:BWS14J***)
【分類號(hào)】：R764.3

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1 孟昭進(jìn);張建新;倪志軍;彭新;王鵬;單希征;;上半規(guī)管良性陣發(fā)性位置性眩暈誘發(fā)試驗(yàn)的研究[J];中國(guó)耳鼻咽喉頭頸外科;2014年04期

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