180°翻滚法与Barbecue法治疗水平半规管良性阵发性位置性眩晕疗效比较
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河北省医学科学研究课题计划(20201417)。


Comparison of curative effect between 180° rolling method and Barbecue method on horizontal semicircular canal benign paroxysmal positional vertigo
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    摘要:

    目的 探讨应用180°翻滚法和Barbecue法治疗水平半规管良性阵发性位置性眩晕(HSC-BPPV)的疗效有无差别。方法 将确诊的268例HSC-BPPV患者随机分为两组,分别应用Barbecue法(130例)和180°翻滚法(138例)比较两组疗效。结果 两组第1、2、3次治愈率分别比较,差异无统计学意义(P>0.05);两组组内治疗前后分别进行眩晕残障评定量表(DHI)评分比较,差异具有统计学意义(P<0.05);两组组间治疗后进行DHI评分比较,差异无统计学意义(P>0.05);两组治愈后旋转试验眼震慢相速度不对称比判断半规管轻瘫(canal paresis,CP)值正常例数比较,差异无统计学意义(P>0.05)。结论 对于HSC-BPPV患者,180°翻滚法与Barbecue法治愈率、治愈后DHI评分、治愈后旋转试验CP值正常例数比较均相当;180°翻滚法在临床中操作更为简单,更节约时间,值得推广。

    Abstract:

    Objective To investigate the difference of curative effect between 180° rolling method and barbecue method in the treatment of horizontal semicircular canal benign paroxysmal positional vertigo (HSC-BPPV). Methods A total of 268 patients with HSC-BPPV were randomly divided into two groups to receive manipulative reduction of Barbecue method (n=130) or 180° rolling method (n=138). The curative effects of the two groups were compared. Results There were no significant differences in the first, second and third cure rates between the two groups (P>0.05). The Dizziness Handicap Inventory (DHI) score differences before and after treatment in both groups were statistically significant (P<0.05). Comparison of DHI scores between the two groups after treatment showed no statistical difference (P>0.05). There was no significant difference in the number of cases with normal canal paresis (CP) value in rotation test between the two groups after cure (P>0.05). Conclusions For patients with HSC-BPPV, the cure rate, DHI score after cure, and the number of cases with normal CP value of rotation test after cure are comparable between 180° rolling method and Barbecue method. And the 180° rolling method is more simple and time saving in clinical practice, which is worthy of promotion.

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赵颖,李伟,王利军,孙怡君.180°翻滚法与Barbecue法治疗水平半规管良性阵发性位置性眩晕疗效比较[J].中国耳鼻咽喉颅底外科杂志,2023,29(4):40-44

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  • 收稿日期:2022-09-10
  • 在线发布日期: 2023-08-31
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