Observation of dizziness in patients with otolith disease after successful manual reduction
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摘要: 目的:观察后半规管耳石症患者门诊手法复位成功后头晕的发生率及持续时间。方法:将我科2008-2012年门诊手法复位成功的80例耳石症患者分成两组:青年组(<55岁)45例,老年组(≥ 55岁)35例,观察两组患者头晕的发生率及持续时间。结果:青年组头晕的发生率为26.7%(12/45),头晕持续时间为(7.8±2.2) d;老年组头晕发生率为45.7%,(16/35),头晕持续时间为(12.6±2.4) d;两组在头晕发生率及持续时间上的差异均有统计学意义(P<0.05)。结论:青年组耳石症患者经手法复位成功后头晕的发生率明显低于老年组患者,头晕持续时间也明显低于老年组。Abstract: Objective: To observe the incidence and duration of dizziness after the successful manipulation of the posterior semicircular canals in otolith patients.Method: Our department of 2008-2012 outpatient manipulative reduction successful 80 cases of otolith disorders were divided into two groups:the young group (<55 years old) in 45 cases, the elderly group (over 55 years) in 35 cases, observe the incidence and duration of two groups of patients with dizziness. Result: The young group dizziness occurred in 12 cases(26.7%), dizziness duration (7.8±2.2) days; The incidence of dizziness in the elderly group was 45.7% (16/35), dizziness duration (12.6±2.4) days; the difference between the two groups in the incidence and duration of dizziness were statistically significant (P<0.05). Conclusion: The incidence of dizziness in the patients with otolith disease in the young group was significantly lower than that in the elderly group. The duration of dizziness was significantly lower than that of the elderly group.
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Key words:
- otolith disease /
- manipulative reduction /
- dizziness /
- elderly
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[1] 宋海涛, 高波, 张秋颖, 等.老年人良性阵发性位置性眩晕的特点及管石复位治疗[J].中华老年医学杂志, 2007, 26(3):191-193.
[2] 中华耳鼻咽喉头颈外科杂志编委会, 中华医学会耳鼻咽喉科学分会.良性阵发性位置性眩晕的诊断依据和疗效评估[J].中华耳鼻咽喉头颈外科杂志, 2007, 42(3):163-164.
[3] 单希征.良性阵发性位置性眩晕诊断与治疗[J].中国实用内科杂志, 2011, 31(6):418-420.
[4] PARNES L S, AGRAWAL S K, ATLAS J.Diagnosis and management of benign paroxysmal positional vertigo (BPPV)[J].CMAJ, 2003, 169:681-693.
[5] BHATTACHARYYA N, BAVGH R F, ORVIDASL, et al.Clinical practice guideline:benign paroxysmal positional vertigo[J].Otolaryngol Head Neck Surg, 2008, 139:S47-81.
[6] 孙晓雷, 张俊, 黎琳.良性阵发性位置性眩晕(耳石症)手法复位临床疗效观察[J].内蒙古医学院学报, 2012, 34(5):822-823.
[7] 宋海涛, 高波, 彭好, 等.165例良性阵发性位置性眩晕患者管石复位治疗疗效观察[J].中华耳科学杂志, 2006, 4(4):283-286.
[8] 邹世桢, 李进让, 田师宇, 等.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[J].临床耳鼻咽喉头颈外科杂志, 2017, 31(19):1468-1472.
[9] 薛海龙, 李仓霞, 段立欣, 等.118例创伤后耳石症临床资料分析[J].临床耳鼻咽喉头颈外科杂志, 2017, 31(10):774-775.
[10] EPLEY J M.New dimensions of benign paroxysmal positional vertigo[J].Otolaryngol Head Neck Surg, 1980, 88:599-605.
[11] SCHUKNECHT H F, RUBY R R.Cupulolithiasis[J].Adv Otorhinolaryngol, 1973, 20:434-443.
[12] BABAC S, ARSOVICN.Efficacy of Epley maneuver in treatment of benign paroxysmal positional vertigo of the posterior semicircular canal[J].Vojnosanit Pregl, 2012, 69:669-674.
[13] WELLING D B, BARNES D E.Particle repositioning maneuver for benign paroxysmal positional vertigo[J] Laryngoscope, 1994, 104:946-949.
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