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华西医学  2012 

良性阵发性位置性眩晕患者手法复位及合并抗眩晕药物治疗观察

, PP. 70-72

Keywords: 良性阵发性位置性眩晕,手法复位,眩晕,半规管,眼震

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Abstract:

目的 比较单纯手法复位和手法复位合并口服抗眩晕药治疗良性阵发性位置性眩晕(BPPV)的短期和长期疗效。方法 将2004年1月-2011年6月期间收治的236例BPPV患者随机分为两组,对照组112例采用单纯手法复位,观察组124例在手法复位基础上配合口服抗眩晕药治疗,两组均于1周和3个月后复查,并随访观察1年,且比较其疗效。结果 观察随访1年后,对照组总治愈率92.86%(104/112),观察组治愈率为93.54%(116/124),两者比较差异无统计学意义。结论 单纯手法复位和手法复位合并口服抗眩晕药治疗BPPV其疗效相当,但可作为BPPV患者的首选治疗方法。Objective Toevaluatetheshort-termandlong-termeffectofcanalithrepositioningprocedureswithorwithoutanti-vertigodrugsonbenignparoxysmalpositionalvertigo(BPPV).Methods Atotalof236casesofBPPVthatweretreatedwithparticlerepositioningmaneuverwithmedicinetreatmentfromJanuary2004toJune2011.Thepatientsweredividedintocontrolgroup(112patients,underwentcanalithrepositioningprocedures)andobservationgroup(124patients,underwentcanalithrepositioningprocedureswithmedicationofanti-vertigodrugs).Thetwogroupswerereappraisedafteroneweekandthreemonthsrespectively,andthefollow-updurationwasoneyear.Results Thesuccessratewas92.86%(104/112)inthecontrolgroupand93.55%(116/124)intheobservationgrouponeyearafterthetreatment.Thedifferencebetweenthetwogroupswasnotsignificant.Conclusion Theeffectofcanalithrepositioningprocedureswithorwithoutanti-vertigodrugsonBPPVdoesnotdiffermuchfromeachother.

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