Study on the influence of Barbecure combined with Epley on residual dizziness of horizontal canal benign paroxysmal positional vertigo by SRM-vertigo diagnosis system
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摘要: 目的 探讨SRM眩晕诊疗系统中Barbecure联合Epley对水平半规管BPPV(horizontal canal benign paroxysmal positional vertigo，HC-BPPV)残余症状影响的研究。方法 选取2021年11月—2022年11月在西安交通大学第一附属医院耳鼻咽喉头颈外科以快速轴位滚转试验及Dix-Hallpike试验确诊的HC-BPPV 406例患者，按就诊卡单双号分为2组，A组(奇数)：采取Barbecure复位2圈；B组(偶数)：采取Barbecure联合Epley复位2圈。2组患者次日重新体位诱发痊愈即停止治疗，未痊愈者同法继续治疗。观察痊愈率及30 d内残余症状发生率。结果 A组痊愈率83.41%，B组痊愈率80.51%，2组痊愈率差异无统计学意义(P>0.05)。A组残余症状发生率23.30%，B组残余症状发生率11.46%。2组残余症状发生率差异有统计学意义(P < 0.05)。结论 SRM眩晕诊疗系统中Barbecure联合Epley复位法可显著降低HC-BPPV痊愈后残余症状的发生率，明显改善患者生活质量。
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关键词:
- 良性阵发性位置性眩晕 /
- 水平半规管 /
- 残余症状
Abstract: Objective To investigate the influence of Barbecure combined with Epley on residual dizziness of horizontal canal benign paroxysmal positional vertigo(HC-BPPV) by SRM-vertigo diagnosis system.Methods A total of 406 patients diagnosed with HC-BPPV from Nov 2021 to Nov 2022 were enrolled by rapid axial roll test and Dix-Hallpike in the department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Xi'an Jiaotong University. The patients were divided into two groups by hospital card numbers, in which the numbers that were odd were considered as group A, and the numbers that were even were considered as group B. The group A underwent two circles of Barbecure repositioning procedure by SRM-vertigo diagnosis system, while the group B underwent two circles Barbecure combined with Epley repositioning procedure by SRM-vertigo diagnosis system. The treatment was stopped on the next day when two groups of patients were cured, and those who were not cured will continue treatment with the same method.Results The cure rate of group A was 83.41%, and the cure rate of group B was 80.51%, the difference between the two groups was not-statistically significant difference(P>0.05). The rate of residual dizziness of group A was 23.30%, the rate of residual dizziness of group B was 11.46%, the difference between the two groups was statistically significant(P < 0.05).Conclusion The Barbecure combined with Epley otoliths repositioning maneuver by SRM-vertigo diagnosis system can significantly reduce the rate of residual dizziness after the treatment of HC-BPPV, and improve the quality of life of patients. -
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表 1 疗效多因素logistic回归分析
影响因素 β SE Wals Sig Exp(β) 95%CI 下限 上限 性别 -0.137 0.282 0.236 0.627 0.872 0.502 1.514 BMI分组 -0.927 0.306 9.154 0.002 0.398 0.217 0.721 病程 -0.065 0.196 0.111 0.739 0.937 0.637 1.377 年龄分组 -0.471 0.305 2.379 0.123 0.625 0.343 1.136 
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