| 摘要: |
| 目的比较Gufoni法与barbecue法治疗向地性眼震型水平半规管良性阵发性位置性眩晕（HSC-BPPV）的短期疗效。方法采用前瞻性、开放登记研究方法纳入100例连续就诊于眩晕门诊的向地性眼震型HSC-BPPV患者，并随机分为两组，每组50例，分别采用Gufoni法与barbecue法进行手法复位，每种方法循环复位2次，复位结束30min后采用平卧侧头试验评估并比较两组患者复位后即刻疗效。结果经过最多2次循环治疗，Gufoni法复位成功率为90.0%，明显高于barbecue法的68.0%（P＜0.05）。Gufoni复位患者中，年龄＜60岁组与≥60岁组单次复位成功率、二次复位成功率比较，差异均无统计学意义（均P＞0.05）；barbecue复位患者中，年龄＜60岁组单次复位成功率、二次复位成功率均高于≥60岁组（均P＜0.05）。在＜60岁患者中，Gufoni法与barbecue法单次复位成功率、二次复位成功率比较，差异均无统计学意义（均P＞0.05）；在≥60岁患者中，Gufoni法单次复位成功率、二次复位成功率均明显高于barbecue法（均P＜0.05）。2种方法复位后BPPV类型转换发生率比较，差异无统计学意义（P＞0.05）。结论Gufoni法治疗向地性眼震型HSC-BPPV短期疗效优于barbecue法，尤其适用于高龄患者。 |
| 关键词: 水平半规管良性阵发性位置性眩晕 向地性眼震型 耳石手法复位 短期疗效 |
| DOI：10.12056/j.issn.1006-2785.2017.39.18.2016-1962 |
| 分类号: |
| 基金项目:浙江省中医药科技计划项目（2016ZA031）；浙江省医学会临床科研基金项目（2015ZYC-A01） |
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| Comparison of Gufoni and barbecue maneuvers in treatment of geotropic horizontal semicircular canal benign paroxysmal positional vertigo |
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Zhejiang provincial People's Hospital
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| Abstract: |
| Objective To compare the efficacy of Gufoni and barbecue maneuvers for treatment of patients with geotropic type of benign paroxysmal positional vertigo of horizontal semicircular canal (HSC-BPPV). Methods A randomized, controlled clinical trial was conducted in the dizziness clinic of Zhejiang Provincial Hospital, 100 consecutive patients with geotropic HSC-BPPV were randomly assigned to Gufoni (n=50) and barbecue rotation (n=50) for treatment. The immediate therapeutic efficacy was compared within 30 min after each maneuvers. Results After a maximum of 2 maneuvers, Gufoni method showed better responses than barbecue rotation (90.0% vs. 68.0%, P＜0.05). The therapeutic effects with Gufoni maneuvers were also better than that with barbecue maneuver in elderly patients(≥60y)(91.7% vs. 40.0%, P＜0.05). There was no significant difference in transition into other BPPV types after treatment between two maneuvers (P ＞0.05). Conclusion Gufoni maneuver shows a
better immediate responses than barbecue rotation in treating geotropic HSC-BPPV, especially for the elderly patients. |
| Key words: Horizontal semicircular canal benign positional paroxysmal vertigo Geotropic nystagmus form Particle repositioning maneuver Immediate therapeutic efficacy |
