改良Semont复位法治疗后半规管BPPV的短期临床效果随机对照研究

邹世桢; 李进让; 田师宇; 鞠骏; 贾曼玉

doi:10.13201/j.issn.1001-1781.2017.19.002

改良Semont复位法治疗后半规管BPPV的短期临床效果随机对照研究

- 海军总医院全军耳鼻咽喉头颈外科中心(北京, 100048)
基金项目:
军队后勤科研基金资助项目 (No:BWS14J***)

详细信息

通讯作者: 李进让, E-mail:entljr@sina.com

中图分类号: R764

收稿日期: 2017-06-21

A randomized controlled trial on short-term efficacy of the modified Semont maneuver for the treatment of posterior canal benign paroxysmal positional vertigo

- Department of Otorhinolaryngology Head and Neck Surgery, Navy General Hospital, Beijing, 100048, China

More Information

Corresponding author: LI Jinrang, E-mail: entljr@sina.com

Received Date: 21 June 2017

摘要

摘要: 目的: 观察改良Semont复位法治疗后半规管良性阵发性位置性眩晕(PC-BPPV)的短期疗效。方法: 选取130例单侧PC-BPPV管石症患者的临床资料,将患者随机分成A、B两组,A组应用改良Semont复位法进行治疗,B组采用Epley复位法进行治疗,每次门诊治疗各采用相同复位法进行2次复位治疗,3 d后及1周后进行门诊复查,记录治疗后的后遗症情况,同时分析2组患者复位治疗后的短期临床效果。结果: A组有5例患者随访失联,B组有3例因无法耐受复位过程而未完成治疗。A组患者3 d及1周复查时存在后遗症的情况分别为27例和9例,而复位有效率分别为91.7%和98.3%;B组患者3 d和1周复查时存在后遗症的情况分别为41例和15例,而复位有效率分别是91.9%和96.8%。2组之间3 d和1周的后遗症情况以及复位治疗结果比较,差异均无统计学意义(P>0.05)。结论: 改良Semont复位法是一种治疗PC-BPPV可靠有效的治疗方法,且该方法操作简便,过程快速,无明显不良反应,可在临床推广应用。
- 眩晕 /
- 前庭疾病 /
- 后半规管 /
- 手法复位
Abstract: Objective: To observe the short-term efficacy of modified Semont maneuver for posterior canal benign paroxysmal positional vertigo (PC-BPPV).Method: This was a prospective randomized controlled trial on 130 PC-BPPV patients. Subjects were randomized divided into two groups:modified Semont (65 patients), and Epley (65 patients). Each maneuver was repeated twice, and the presence of sequelae, nystagmus and vertigo on positional testing were evaluated 3rd day and 1 week after treatment.Result: Five patients were lost to follow up (all five in the modified Semont group), and three patients failed to complete treatment (all three in the Epley group). The sequelae at the 3rd day and one week after modified Semont maneuver were 27 and 9, while 41 and 15 in Epley group. The efficacy rates at the 3rd day and one week after modified Semont maneuver were 91.7% and 98.3%, and 91.9% and 96.8% in Epley group retrospectively. The sequelae and short-term effective rate of patients in modified Semont group was no difference when compared with that in Epley group (P>0.05).Conclusion: Modified Semont maneuver represents a simple rapid and effective approach to the treatment of posterior canal benign paroxysmal positional vertigo.
- vertigo /
- vestibular disease /
- posterior canal /
- repositioning maneuver

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