摘要
良性阵发性位置性眩晕(BPPV)治疗后,仍有一定比例患者症状无好转,或数天后再次发作,复发性BPPV是临床上难以解决的问题。从中西医两个角度探讨这个问题,对复发性BPPV的诊断、可能的发病机制、复发的危险因素和防治方法,以及中医病因病机、分型论治和特色治疗等方面,予以系统论述,旨在探索更加有效的思路和方法,降低BPPV的复发率。认为通过综合分析患者体质、临床表现,依据和运用中医理论,对患者进行分型论治,作为手法复位后的辅助手段,采用个体化中西医结合治疗方案进行防治,在减轻眩晕症状,减少复发方面具有独特优势,中医药联合手法复位治疗BPPV有着广泛的应用前景。
After the treatment of benign paroxysmal positional vertigo(BPPV), there is still a certain proportion of patients with no improvement in symptoms, or a few days after the onset of positional vertigo, recurrent BPPV is a clinically difficult problem to solve. This issue is explored from two perspectives of Chinese and western medicine. The diagnosis, possible pathogenesis, risk factors and drug prevention and treatment of recurrent BPPV were discussed. The etiology and pathogenesis, classification and argumentation, systematically discuss, thus to explore more effective ideas and methods, reduce the recurrence rate of BPPV. It is considered that through comprehensive analysis of the patient’s physical condition, clinical manifestations, and the use of TCM theory, the patient is classified and treated as an auxiliary means after manual reduction, using individualized integrated Chinese and Western medicine treatment plan for prevention and treatment, reducing dizziness symptoms and reducing recurrence. The aspect has unique advantages, and Chinese medicine combined with manual reduction and treatment of BPPV has broad application prospects.
作者
边芳子
矫璐璐
闫占峰
刘巧平
刘思溟
郝鹏鹏
刘莉莉
张琳婧
Bian Fangzi;Jiao Lulu;Yan Zhanfeng;Liu Qiaoping;Liu Siniing;Hao Pengpeng;Liu Lili;Zhang Linjing(Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700)
出处
《现代中医临床》
2019年第2期72-76,共5页
Modern Chinese Clinical Medicine
基金
北京中医药大学校级课题(No.2017-JYB-JS-065)
关键词
良性阵发性位置性眩晕
复发
发病机制
危险因素
治未病
benign paroxysmal positional vertigo
recurrence
pathogenesis
risk factors
prevention of disease
作者简介
边芳子,女,在读硕士生;通信作者:刘巧平,女,硕士,主任医师,硕士生导师.
