BPPV手法复位的长期疗效观察

丁意丽; 邹世桢; 王宇晴; 李进让

doi:10.13201/j.issn.1001-1781.2019.08.019

BPPV手法复位的长期疗效观察

- 中国人民解放军总医院第六医学中心耳鼻咽喉头颈外科(北京, 100048)

详细信息

通讯作者: 李进让,E-mail:entljr@sina.com

中图分类号: R764.3

收稿日期: 2019-01-30

Long-term efficacy observation of BPPV repositioning maneuver

- Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China

More Information

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

Received Date: 30 January 2019

摘要

摘要: 目的:观察分析BPPV手法复位治疗长期随访的复发情况,明确手法复位治疗的长期疗效。方法:收集738例确诊为BPPV的患者资料,通过电话、短信等联系方式进行随访,分析并总结BPPV患者手法复位后长期随访的复发情况。结果:738例BPPV患者中,完成随访458例(62.06%),失访280例;458例随访患者包括314例未复发、144例复发(31.44%)。结论:手法复位是目前临床上治疗BPPV最常用的治疗方法,其具有安全、简单且疗效确切等特点,但经手法复位治愈的BPPV患者仍存在复发风险。在复发患者中,复位治疗后复发1次的患者比例最高,且BPPV的女性患者复发率要明显高于男性。
- 眩晕 /
- 手法复位 /
- 疗效
Abstract: Objective: The aim of this study is to observe and analyze the long-term follow-up of the recurrence of benign paroxysmal positional vertigo BPPV with repositioning maneuver, and to determine the long-term therapeutic effect of repositioning maneuver. Method: To collect 738 patients who were diagnosed with BBPV due to vertigo. Follow up by telephone, SMS and other contact methods to analyze and summarize the long-term follow up of the recurrence of patients who had been treated with the appropriate repositioning maneuver. Result: Of the 738 patients, 458 patients were followed up and 280 were lost to follow up. The total follow up rate was 62.06%. 458 patients were followed up with 314 patients without recurrence and 144 patients with recurrence. The total recurrence rate was 31.44%. Conclusion: Repositioning maneuver is the most commonly used way for the treatment of BPPV. It is safe, simple and effective. However, patients with BPPV who have been cured by manual reduction still have a risk of recurrence. Among patients with relapse, the proportion of patients who relapsed once after treatment was the highest, and the recurrence rate of women with BPPV was significantly higher than that of men.
- vertigo /
- repositioning maneuver /
- treatment effect

HTML全文

参考文献(14)

[1]	BHATTACHARYYA N,GUBBELS S P,SCHWARTZ S R,et al. Clinical Practice Guideline:Benign Paroxysmal Positional Vertigo(Update)[J].Otolaryngol Head Neck Surg,2017,156(3_suppl):S1-S47.
[2]	吕肖玉,鞠奕,赵性泉.良性阵发性位置性眩晕临床特征与预后[J].中国卒中杂志,2016,11(12):1023-1029.
[3]	VON BREVERN M,RADTKE A,LEZIUS F,et al. Epidemiology of benign paroxysmal positional vertigo:a population based study[J].J Neurol Neurosurg Psychiatry,2007,78:710-715.
[4]	单希征.眩晕诊治研究进展与现代理念思考[J].武警医学,2010,21(12):1013-1016.
[5]	孙志萍.良性阵发性位置性眩晕对病人生活质量的影响及护理措施[J].全科护理,2017,15(22):2759-2760.
[6]	WANG H,YU D,SONG N,et al.Delayed diagnosis and treatment of benign paroxysmal positional vertigo associated with current practice[J].Eur Arch Otorhinolaryngol,2014,271:261-264.
[7]	BENECKE H,AGUS S,KUESSNER D,et al.The Burden and Impact of Vertigo:Findings from the REVERT Patient Registry[J].Front Neurol,2013,4:136-136.
[8]	HILTON M P,PINDER D K.The Epley(canalith repositioning)manoeuvre for benign paroxysmal positional vertigo[J].Cochrane Database Syst Rev,2014,12:CD003162.
[9]	PROKOPAKIS E,VLASTOS I M,TSAGOURNISAKIS M,et al.Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo[J].Audiol Neurootol,2013,18:83-88.
[10]	CHOI S J,LEE J B,LIM H J,et al. Clinical features of recurrent or persistent benign paroxysmal positional vertigo[J].Otolaryngol Head Neck Surg,2012,147:919-924.
[11]	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.
[12]	李改丽,徐贤华,秦杨,等.尽早耳石复位治疗对BPPV的疗效及对复发的影响[J].西南国防医药,2014,24(7):744-746.
[13]	孙利兵,郑智英,王斌全,等.前庭康复训练对良性阵发性位置性眩晕复位后残余症状的疗效分析[J].临床耳鼻咽喉头颈外科杂志,2017,31(12):897-900.
[14]	薛慧,崇奕,刘振丽.焦虑对良性阵发性位置性眩晕复位治疗效果的影响[J].中国中西医结合耳鼻咽喉科杂志,2017,25(5):349-350.