摘要
目的 探讨单纯Epley手法复位和手法联合药物治疗后半规管良性发作性位置性眩晕（posterior semicircularcanal benign paroxysmal positional vertigo,PSC-BPPV）患者的短期疗效.方法 将2011年3月～2013年6月收治的102例PSC-BPPV患者随机分为单纯Epley手法复位组（治疗组,n=50）和联合治疗组（对照组,n=52）,后者除行Epley手法复位外同时给予氟桂利嗪5mg qn、倍他司汀氯化钠500 ml静脉滴注qd治疗,7天后评价两组治疗效果,同时随访1个月.结果 治疗7天后,两组疗效分级比较差异无统计学意义（P＞0.05）.复位成功后均随访1个月,两组治疗疗效起效时间的比较差异无统计学意义（P＞0.05）,5例7天内未愈患者均在3周内症状消失,未见复发.结论 PSC-BPPV行单纯Epley复位法临床效果好,理论上疗效等同于添加氟桂利嗪、倍他司汀药物辅助治疗.
Objective To compare the short term effectiveness of use of Epley repositioning maneuver alone and maneu- ver combined with drugs in treating posterior semicircular canal benign paroxysmal positional vertigo（PSC-BPPV） .Methods One hundred and two patients,who were diagnosed with PSC-BPPV and received treatment from March,2011 to June,2013 were randomly selected to be treated with either the Epley canalith repositioning maneuver alone （treatment group, n = 50） or maneuver in combination with drugs （control group, n = 52）.The control group were given 5 mg of flunarizine betahistine every night and 500 ml of sodium chloride by intravenous drip for once a day.After 7 days of treatment, the therapeutic effect was evaluated and patients were followed up for 1 month. Results After treating for 7 days, no significant difference was found in the curative effect of two groups（ P 〉0.05）.After successful reduction and follow-up visit of a month, difference of the onset time of two groups was not statistically significant（ P 〉0. 05 ） .The symptoms of 5 patients uncured within 7 days disappeared within 3 weeks without recurrence during the follow-up period. Conclusion The Epley maneuver alone has good curative effect in treating PSC-BPPV.In theory,the curative effect is equivalent to that of Epley maneuver combined with the drugs of flunarizine and betahistine.
出处
《右江医学》
2014年第4期427-429,共3页
Chinese Youjiang Medical Journal
关键词
位置性眩晕
半规管
Epley手法复位法
positional vertigo
semicircular canal
Epley maneuver
curative effect
作者简介
邢九冬,男,副主任医师,医学学士,研究方向：脑血管疾病的诊治.E-mail：xingjd90@163.com
