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目的探讨手法复位治疗后半规管良性发作性变位性眩晕(PC-BPPV)的临床疗效。方法回顾分析2002年1月至2005年12月在泰兴市中医院神经内科确诊的68例PC-BPPV患者经手法复位治疗的临床疗效。结果68例Dix-Hallp ike诱发试验均出现旋转向地性眼震。治疗组36例给予Ep ley手法复位治疗,对照组32例给予药物治疗。治疗组20例经1次治疗后症状消失,8例经2次治疗、6例经3次治疗后症状也消失,2例无效,总成功率为94.4%(34/36),对照组药物治疗1周后症状消失20例,总成功率为62.5%(20/32)。两组疗效比较,差异有统计学意义(P<0.01)。结论手法复位治疗PC-BPPV疗效优于药物治疗,且安全、经济、方便,适合在基层医院推广。
Objective To investigate the clinical efficacy of manual reduction in the treatment of semicircular canal benign paroxysmal vertigo (PC-BPPV). Methods The clinical efficacy of 68 cases of PC-BPPV patients diagnosed by Department of Neurology, Taichung Hospital of Traditional Chinese Medicine from January 2002 to December 2005 was retrospectively analyzed. Results 68 cases of Dix-Hallp ike induced test showed rotational geotropism. 36 cases in the treatment group were treated with Ep ley reduction and 32 cases in the control group were given drug treatment. Twenty patients in the treatment group disappeared after one treatment, eight patients were treated twice, six patients disappeared after three treatments, two were ineffective, and the total success rate was 94.4% (34/36). In the control group, One week later symptoms disappeared in 20 cases, the total success rate was 62.5% (20/32). The efficacy of the two groups, the difference was statistically significant (P <0.01). Conclusions Manipulative reduction of PC-BPPV is superior to drug treatment in the treatment of PC-BPPV, and is safe, economical and convenient and is suitable for promotion in primary hospitals.