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儿童良性阵发性位置性眩晕诊疗的临床特征与治疗分析

祝宝莲 沈琴 窦训武 赵兴贺 张岑溪 朱慧娥

中华耳科学杂志2026,Vol.24Issue(2):133-136,4.
中华耳科学杂志2026,Vol.24Issue(2):133-136,4.DOI:10.3969/j.issn.1672-2922.2026.02.007

儿童良性阵发性位置性眩晕诊疗的临床特征与治疗分析

Clinical characteristics and treatment of benign paroxysmal positional vertigo in children

祝宝莲 1沈琴 1窦训武 1赵兴贺 1张岑溪 2朱慧娥1

作者信息

  • 1. 苏州大学附属儿童医院耳鼻咽喉科,苏州 215003
  • 2. 苏州市吴中人民医院心内科,苏州 215128
  • 折叠

摘要

Abstract

Objective To report clinical characteristics and therapeutic outcomes of manual repositioning in 10 children with benign paroxysmal positional vertigo(BPPV).Methods Clinical data of 10 pediatric patients with BPPV treated in our department from January 2020 to June 2023 were retrospective analyzed,There were 7 males and 3 females,aged from 4 to 14 years.Fill in the questionnaire after further clinical diagnosis according to the patient's medical history and symptoms,and relieve the dizziness symptoms of the children through interesting vestibular rehabilitation training such as ball tossing game and balance board game,focusing on clinical characteristics and therapeutic effects of manual repositioning with follow-up.Results Nine children were diagnosed with BPPV by position test(including roll test and Dix Hallpike test),and one case was suspected of BPPV.The specific diagnosis distribution was:left posterior semicircular canal BPPV in 3 cases,right posterior semicircular canal BPPV in 2 cases,left horizontal semicircular canal BPPV in 3 cases,right horizontal semicircular canal BPPV in 1 case,suspected right horizontal semicircular canal BPPV in 1 case.Treatment effect:all children received manual reduction treatment and interesting vestibular function rehabilitation training,and the total cure rate reached 100%.Conclusions The diagnosis of pediatric BPPV mainly relies on typical vertigo history and positional tests.Manual repositioning is effective and safe,making it the preferred treatment for pediatric BPPV.

关键词

儿童/良性阵发性位置性眩晕/位置试验/前庭康复

Key words

children/benign paroxysmal positional vertigo/positional tests/vestibular rehabilitation

引用本文复制引用

祝宝莲,沈琴,窦训武,赵兴贺,张岑溪,朱慧娥..儿童良性阵发性位置性眩晕诊疗的临床特征与治疗分析[J].中华耳科学杂志,2026,24(2):133-136,4.

中华耳科学杂志

1672-2922

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