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目的探讨良性阵发性位置性眩晕(BPPV)的诊治方法。方法对52例BPPV患者施行Dixt-Hallpike试验及仰卧侧头位试验,按BPPV的不同类型分别采用Epley耳石复位法和Lempert翻滚法进行治疗。结果 52例BPPV中有35例属于后半规管性BPPV(PC-BPPV),12例为水平半规管性BPPV(HC-BPPV),5例为混合型。经1次复位治疗后3,1例症状消失,首次治疗有效率60%,8例经2次治疗有效,9例经3～7次治疗有效,总有效率为92%。结论手法复位治疗BPPV患者非常有效,能有效地缩短病程;其治疗简单,费用低。
Objective To investigate the diagnosis and treatment of benign paroxysmal positional vertigo (BPPV). Methods Fifty-two BPPV patients underwent Dixt-Hallpike test and supine lateral head position test. Epley otolith reduction and Lempert tumbling were performed according to different types of BPPV. Results Thirty-five cases of BPPV belonged to posterior semicircular canalization (PC-BPPV), 12 had hemoblastic BPPV (HC-BPPV) and 5 were mixed. After a reduction of the treatment of 3,1 cases of symptoms disappeared, the first treatment of 60% efficiency, 8 cases after 2 treatment effective, 9 cases treated 3 to 7 times, the total effective rate was 92%. Conclusion Manipulation reduction is very effective in treating patients with BPPV, which can shorten the course of the disease effectively. The treatment is simple and the cost is low.