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改良体位限制治疗首诊未痊愈水平半规管管石症疗效初探

王志斌 张金翠 吴子明

中华耳科学杂志2018,Vol.16Issue(3):290-295,6.
中华耳科学杂志2018,Vol.16Issue(3):290-295,6.DOI:10.3969/j.issn.1672-2922.2018.03.007

改良体位限制治疗首诊未痊愈水平半规管管石症疗效初探

Effects of Modified Position Restriction on Treatment of Unhealed Semicircular Canal Stone Diseases

王志斌 1张金翠 1吴子明2

作者信息

  • 1. 蚌埠医学院附属蚌埠市第三人民医院耳鼻喉科 蚌埠 233000
  • 2. 解放军总医院耳鼻咽喉头颈外科眩晕诊疗中心 北京 100853
  • 折叠

摘要

Abstract

Objective To report effects of modified position restriction on horizontal semicircular canal benign paroxysmal positional vertigo (HSC-BPPV) in which initial manipulative reduction therapies have failed. Methods A to-tal of 70 patients with HSC-BPPV were randomly divided into 2 groups to receive Barbecue manipulative reduction combined with modified sleep position restriction (Group A), or simple Barbecue manipulative reduction (Group B). Short-term therapeutic effects were examined at 3 days and 1 week. Results The rate of improvement at 3 days and 1 week was 90.91%and 96.97%for group A (with residual symptoms seen in 19 and 9 cases, respectively), and 71.88%and 93.75%for group B (with residual symptoms seen in 21 and 11 cases, respectively). The difference between the 2 groups was significant at 3 days (P<0.05), although not at 1 week (P>0.05). Conclusion Modified position restriction is effective in treating HSC-BPPV that has failed initial therapies and can be easily adopted as a supplement to regular therapies with rapid resolution of symptoms, which enables resumption of normal sleep positions.

关键词

良性阵发性位置性眩晕/Barbecue复位法/水平半规管/管石症/体位限制

Key words

Benign Paroxysmal Positional Vertigo/Barbecue/Otolith Reduction/Position Restriction

分类

医药卫生

引用本文复制引用

王志斌,张金翠,吴子明..改良体位限制治疗首诊未痊愈水平半规管管石症疗效初探[J].中华耳科学杂志,2018,16(3):290-295,6.

基金项目

蚌埠市卫计委技术推广项目(2018-TGXM04),蚌埠市科技计划项目(20140322,20160325) Technique Extension Project of Health and Family Planning Commission of Bengbu City(2018-TGXM04), Science and Technol-ogy Project of Bengbu City (20140322, 20160325) (2018-TGXM04)

中华耳科学杂志

OA北大核心CSCDCSTPCD

1672-2922

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