健康大视野·医学分册2023,Issue(12) :1-2.DOI:10.3969/j.issn.1005-0019.2023.12.001

良性阵发性位置性眩晕关联症状的认识和治疗

刘学升 李军 王粤
健康大视野·医学分册2023,Issue(12) :1-2.DOI:10.3969/j.issn.1005-0019.2023.12.001

良性阵发性位置性眩晕关联症状的认识和治疗

刘学升 1李军 1王粤1
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作者信息

  • 1. 青岛市市立医院神经内科,山东 青岛 266011
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摘要

目的:总结和认识良性阵发性位置性眩晕(BPPV)的关联症状,阐明其病理生理机制,探索有效的治疗方法,提高BPPV的诊断率.方法:回顾性总结了41例诊断不明的眩晕或头晕伴头昏沉感、视物模糊、脑不清晰感、行走漂浮感患者的临床症状,采用针对双侧后半规管和前半规管的联合耳石复位手法(CCRM)的治疗方式,观察CCRM的治疗效果.结果:本组所纳入的41例患者的临床症状经1-3次CCRM治疗后完全缓解.结论:头昏沉感、头部紧缩感、眼睑沉重感、视物模糊、脑不清晰感、行走漂浮感等症状是良性阵发性位置性眩晕(BPPV)的关

Abstract

Objective To summarize and understand the associated symptoms of benign paroxysmal positional vertigo (BPPV), clarify its pathophysiological mechanism, explore effective treatment methods, and improve the diagnostic rate of BPPV. Methods The clinical symptoms of 41 patients with unknown vertigo, dizziness, dizziness, blurred vision, unclear brain sensation, and the treatment methods of combined otolith reduction technique (CCRM) for bilateral posterior semicircular canals and anterior semicircular canals were used to observe the treatment effect of CCRM. Results The clinical symptoms of the 41 patients included in this group were completely relieved with 1-3 CCRM treatments. Conclusion The symptoms of dizziness, head tightness, eyelid heaviness, blurred vision, brain confusion, walking and floating sensation are the associated symptoms of benign paroxysmal positional vertigo (BPPV). The CCRM therapy is an effective treatment approach. Understanding the associated symptoms of BPPV can improve the diagnostic rate of BPPV. It is suggested that the CCRM treatment method should be effective as the basis for the diagnosis of otolithiasis. The diagnostic name of otolithiasis is proposed to replace the diagnostic name of BPPV to avoid the misdiagnosis and missed diagnosis of otolithiasis.

关键词

眩晕/良性阵发性位置性眩晕/耳石症/耳石复位手法

Key words

Vertigo/benign paroxysmal positional vertigo/otolith reduction technique

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出版年

2023
健康大视野·医学分册
中国保健协会

健康大视野·医学分册

ISSN:1005-0019
参考文献量7
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