Epley手法复位治疗后半规管良性发作性位置性眩晕的临床效果分析-论文.pdf

《Epley手法复位治疗后半规管良性发作性位置性眩晕的临床效果分析-论文.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、查’江堕堂2014年第42卷第4期ChineseYoujiangMedicalJouma12014，Vo1．42No．4·427·Epley手法复位治疗后半规管良性发作性位置性眩晕的临床效果分析邢九冬，魏礼梅，梅远伦，刘春，孙其涛(江苏省南京第一医院集团泗洪分金亭医院神经科，泗洪223900)【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(posteriors。mi。ire一larcanalbenignparoxysmalpositionalvertigo，PSC—BPPV)患者的短期疗效。方法将2011年3月一2013年6月收治的102例PS

2、C—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5mgqn、倍他司汀氯化钠500ml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。【关键词】位置性眩晕；半规管；Epley手法

3、复位法中图分类号：R441．2文献标识码：ADOI：10．3969／j．issn．1003．1383．2014．04．009EvaluationofclinicalefectofEpleyrepositioningmaneuverinthetreatmentofposteriorsemicircularcanalbenignparoxysmalpositionalvertigoXINGJiudong，WEILimei，MEIYuanlun，LIUChun，SUNQitao(DepartmentofNeurology，FenjintingHospitalAffliatedtoNanj

4、ingFirstHospitalGroup，Sihong223900，Jiangsu，China)【Abstract】ObjectiveTocomparetheshortterraeffectivenessofuseofEpleyrepositioningmaneuveraloneandmaneu．vercombinedwithdrugsintreatingposteriorsemicircularcanalbenignparoxysmalpositionalvertigo(PSC-BPPV)．MethodsOnehundredandtwopatients，whowerediagn

5、osedwithPSC—BPPVandreceivedtreatmentfromMarch，2011toJune，2013wererandomlyselectedtobetreatedwitheithertheEpleycanalithrepositioningmaneuveralone(treatmentgroup，n50)ormaneuverincombinationwithdmgs(controlgroup，n52)．Thecontrolgroupweregiven5mgofflunarizinebetahistineev—crynightand500mlofsodiumch

6、loridebyintravenousdripforonceaday．After7daysoftreatment，thetherapeuticefectwasevaluatedandpatientswerefollowedupfor1month．ResultsAftertreatingfor7days，nosignificantdifferencewasfoundinthecurativeeffectoftwogroups(P>0．05)．Aftersuccessfulreductionandfollow—upvisitofamonth，diferenceoftheonsettim

7、eoftwogroupswasnotstatisticallysignificant(P>0．05)．Thesymptomsof5patientsuncuredwithin7daysdis—appearedwithin3weekswithoutrecurrenceduringthefollow—upperiod．ConclusionTheEpleymaneuveralonehasgoodcurativeeffectintreatingPSC—BPPV．Intheory