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目的:对比Epley耳石复位法和Semont管石解脱法治疗后半规管良性阵发性位置性眩晕患者的临床疗效,为医院治疗此病患者提供临床依据。方法:随机选择2012年1月到2014年12月之间在丽水市中心医院进行就诊的后半规管良性阵发性位置性眩晕患者98例,将其随机分为两组,治疗组和对照组,每组各49例患者,对照组患者采用Semont管石解脱法进行治疗,治疗组患者采用Epley耳石复位法进行治疗,治疗结束后,对比分析两组患者的治疗效果,为临床治疗提供理论依据。结果:所有患者治疗1周及3个月后的随访结果显示,两组治疗有效率比较没有明显差异,P>0.05,差异不具有统计学意义。作者发现有7例患者复发,复发率为7.14%,其中对照组3例,治疗组4例,经过再次治疗,患者病情均得到缓解。结论:Epley耳石复位法和Semont管石解脱法治疗后半规管良性阵发性位置性眩晕患者,均取得了良好的疗效,且疗效对比差异不大,选取任一种方法治疗均可行。
OBJECTIVE: To compare the clinical efficacy of Epley otolith resection and Semont tuberculosis in the treatment of benign paroxysmal positional vertigo in patients with semicircular canal, so as to provide a clinical basis for the treatment of this disease in hospital. Methods: A total of 98 patients with benign paroxysmal positional vertigo were randomly selected from January 2012 to December 2014 in Lishui Central Hospital. They were randomly divided into two groups: treatment group and control group. Each group of 49 patients, the control group were treated with Semont tube stone release method, the treatment group were treated with Epley otolith reduction method, after treatment, the comparative analysis of two groups of patients with treatment, provide a theoretical basis for clinical treatment . Results: All the patients were followed up for 1 week and 3 months. The results showed that there was no significant difference between the two groups in the treatment efficiency, P> 0.05, the difference was not statistically significant. The authors found that 7 patients relapsed, the recurrence rate was 7.14%, of which 3 patients in the control group, the treatment group 4 patients, after re-treatment, patients were eased. Conclusion: Both Epley otolith restoration method and Semont tube stone extubation have achieved a good curative effect in patients with benign paroxysmal positional vertigo after semicircular canalization, and the difference in curative effect is not obvious. It is feasible to choose either method.