首页|良性阵发性位置性眩晕机器和手法复位疗效对比

良性阵发性位置性眩晕机器和手法复位疗效对比

扫码查看
目的 对比手法复位和机器复位在不同年龄良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)患者中的治疗效果.方法 随机选取 2022 年 4 月至 2023 年 12 月就诊于温州医科大学附属第一医院听力中心的临床上确诊为BPPV的患者 300 例,按年龄分为青中年组 170 例(18~59 岁)和老年组 130 例(≥60 岁),每组再根据患者采取的诊断及治疗方法分为实验组和对照组.实验组患者采用良性阵发性位置性眩晕诊疗系统(型号/规格:SRM-Ⅳ)进行机器复位;对照组患者采用手法复位.比较各组复位有效率、复位次数、残余头晕症状发生率、持续时间等.结果 青中年组中实验组复位后残余头晕症状发生率和持续时间明显低于对照组(P<0.05),复位有效率、复位次数差异无统计学意义(P>0.05);老年组中实验组的复位有效率显著高于对照组,复位次数低于对照组(P<0.05),复位后残余头晕症状发生率和持续时间差异无统计学意义(P>0.05).结论 机器复位可明显提高老年BPPV患者的复位有效率,明显缩短青中年患者复位治疗后残余头晕的持续时间,降低其发生率.
Comparison of the therapeutic effects of machine and manual reduction for benign paroxysmal positional vertigo
Objective To compare the therapeutic effects of manual reduction and machine reduction in patients with benign paroxysmal positional vertigo(BPPV)at different ages.Methods Randomly select 300 patients clinically diagnosed with BPPV who visited the Hearing Center of the First Affiliated Hospital of Wenzhou Medical University from April 2022 to December 2023.They were divided into young and middle-aged group of 170 cases(18-59 years old)and elderly group of 130 cases(≥60 years old)according to age.Each group was further divided equally into experimental group and control group based on the diagnosis and treatment methods adopted by the patients.The experimental group patients were treated with a benign paroxysmal positional vertigo diagnosis and treatment system(model/specification:SRM-Ⅳ)for machine reduction.The control group patients were treated with manual reduction.Compare the effective rate of reduction,reduction frequency,incidence of residual dizziness symptoms,and duration of each group.Results In young and middle-aged patients,the incidence and duration of residual dizziness symptoms after reduction in experimental group were significantly lower than those in control group(P<0.05),and there was no statistically significant difference in the effective rate and number of reductions(P>0.05).In elderly group,the reduction efficiency of experimental group was significantly higher than that of control group,and the reduction frequency was lower than that of the control group(P<0.05).There was no statistically significant difference in the incidence and duration of residual dizziness symptoms after reduction(P>0.05).Conclusion Machine reduction can significantly improve the reduction efficiency of elderly BPPV patients,significantly shorten the duration of residual dizziness after reduction treatment in young and middle-aged patients,and reduce its incidence.

Benign paroxysmal positional vertigoAgeManual reductionMachine reductionResidual symptoms

郑海峰、周琴双、金兰兰、汪静波、宋晓晓

展开 >

温州医科大学附属第一医院耳鼻咽喉科,浙江温州 325000

良性阵发性位置性眩晕 年龄 手法复位 机器复位 残余症状

浙江省温州市基础性医疗卫生科技项目浙江省温州市基础性医疗卫生科技项目浙江省温州市基础性医疗卫生科技项目

Y20210320Y20210317Y2023292

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(12)
  • 20