耳石复位法治疗良性阵发性位置性眩晕后体位限制的必要性研究

贾建平; 唱得龙; 戴嵩; 桑月红; 邰旭辉; 孙晓慧; 侯乐; 张伟

doi:10.13201/j.issn.1001-1781.2013.16.015

耳石复位法治疗良性阵发性位置性眩晕后体位限制的必要性研究

- 1. 解放军第四六三医院耳鼻咽喉科(沈阳, 110042);
- 2. 沈阳157医院耳鼻咽喉科

详细信息

通讯作者: 贾建平,E-mail:jianiger@hotmail.com

中图分类号: R764.33

收稿日期: 2012-12-10

The necessity of post-maneuver postural restriction in treatingbenign paroxysmal positional vertigo

- 1. Department of Otorhinolaryngology, the 463 Hospital of PLA, Shenyang, 110042, China;
- 2. Department of Otorhinolaryngology, the 157 Hospital of Shenyang

More Information

Corresponding author: JIA Jianping, E-mail: jianiger@hotmail.com

Received Date: 10 December 2012

摘要

摘要: 目的:良性阵发性位置性眩晕(BPPV)多采用耳石复位法治疗,为了确保疗效及防止复发,在治疗后一般进行限制性体位,本文对限制体位的必要性进行评价。方法:将符合本研究纳入标准的68例后半规管BP-PV患者进行Epley手法复位治疗,之后再随机分成限制体位组及自由体位组,限制体位组患者在复位后48h内严格控制体位活动方式,自由体位组患者则不进行任何限制。分别于治疗后1周及3个月进行随访,了解治疗结果及复发情况。结果:1周内及3个月后随访其治愈率略有差异,但无统计学意义。结论:复位法治疗BPPV疗效确切,治疗后限制体位会对患者生活及心理产生负面影响,并且对治疗效果无显著影响,建议Epley手法复位治疗之后不限制体位。
- 良性阵发性位置性眩晕 /
- 耳石复位疗法 /
- 限制体位
Abstract: Objective:To evaluate the necessity ofpostural restrictions after repositioning maneuvers in posterior canal benign paroxysmal positional vertigo(BPPV).Method:Sixty-eight consecutive patients diagnosed of posterior canal BPPV with a positive Dix-Hallpike test.Thirty-two patients were instructed to follow postural restrictions after repositioning maneuvers,and 36 patients did not receive any postural restriction after treatment.All the patients were reevaluated at 1 week and 3 months later respectively.Result:There was no statistical difference in number of maneuvers needed to resolve symptoms between two groups.Conclusion:Epley maneuver is effective to treat patients with posterior canal BPPV,and postural restrictions does not improved the efficacy.Above all,we do not recommend any postural restrictions to patients with posterior canal BPPV.
- benign paroxysmal positional vertigo /
- canalith repositioning procedure /
- postural restrictions

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参考文献(13)

[1]	中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉科学分会.BPPV的诊断依据和疗效评估(2006,贵阳)[J].中华耳鼻咽喉头颈外科杂志,2007,42(3):163-164.
[2]	KATSARKAS A.Benign paroxysmal positional ver-tigo (BPPV):idiopathic versus post-traumatic[J].Acta Otolaryngol,1999,119:745-749.
[3]	EPLEY J M.The canalith repositioning procedure:fortreatment of benign paroxysmal positional vertigo[J].Otolaryngol Head Neck Surg,1992,107:399-404.
[4]	PAPACHARALAMPOUS G X,VLASTARAKOS PV,KOTSIS G P,et al.The Role of Postural Restric-tions after BPPV Treatment:Real Effect on Success-ful Treatment and BPPV's Recurrence Rates[J].Int JOtolaryngol,2012,2012:932847.
[5]	MOSTAFA B E,YOUSSEF T A,HAMAD A S.The necessity of post-maneuver postural restriction intreating benign paroxysmal positional vertigo:a meta-analytic study[J].Eur Arch Otorhinolaryngol,2013,270:849-852.
[6]	FYRMPAS G,RACHOVITSAS D,HAIDICH A B,et al.Are postural restrictions after an Epley maneu-ver unnecessary?First results of a controlled studyand review of the literature[J].Auris Nasus Larynx,2009,36:637-643.
[7]	CAKIR B O,ERCAN I,CAKIR Z A,et al.Efficacyof postural restriction in treating benign paroxysmalpositional vertigo[J].Arch Otolaryngol Head NeckSurg,2006,132:501-505.
[8]	MARCIANO E,MARCELLI V.Postural restric-tions in labyrintholithiasis[J].Eur Arch Otorhinolar-yngol,2002,259:262-265.
[9]	MASSOUD E A,IRELAND D J.Post-treatment in-structions in the nonsurgical management of benignparoxysmal positional vertigo[J].J Otolaryngol,1996,25:121-125.
[10]	HILTON M,PINDER D.The Epley manoeuvre forbenign paroxysmal positional vertigo-a systematic re-view[J].Clin Otolaryngol,2002,27:440-445.
[11]	ZUCCA G,VALLI S,VALLI P,et al.Why do be-nign paroxysmal positional vertigo episodes recoverspontaneously[J]?J Vestib Res,1998,8:325-329.
[12]	OTSUKA K,SUZUKI M,SHIMIZU S,et al.Modelexperiments of otoconia stability after canalith reposi-tioning procedure of BPPV[J].Acta Otolaryngol,2010,130:804-809.
[13]	ROBERTS R A,GANS R E,DEBOODT J L,et al.Treatment of benign paroxysmal positional vertigo:necessity of postmaneuver patient restrictions[J].JAm Acad Audiol,2005,16:357-366.