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目的评价Epley复位法治疗良性阵发性位置性眩晕的疗效。方法回顾分析2004-08-2009-08治疗144例后半规管良性阵发性位置性眩晕患者临床资料。根据半规管耳石症假说,患者接受Epley复位法治疗,治疗结束24 h后复查并评价疗效。结果 13例患者的眩晕和眼震于治疗后立刻消失,111例24 h后消失,15例明显缓解,5例无效,无不良反应,治愈率86.1%,有效率10.4%,无效率3.5%。结论 Epley复位法对后半规管性良性阵发性位置性眩晕患者有效,推荐作为基层医疗单位治疗该病的简单有效方法。
Objective To evaluate the efficacy of Epley reduction in the treatment of benign paroxysmal positional vertigo. Methods The clinical data of 144 patients with posterior semicircular canal benign paroxysmal positional vertigo were retrospectively analyzed from 2004-08-2009-08. According to the semilunar otolith disease hypothesis, patients received Epley reduction therapy, review and evaluate the efficacy of 24 h after the end of treatment. Results Vertigo and nystagmus of 13 patients disappeared immediately after treatment. 111 patients disappeared after 24 h, 15 patients were relieved, 5 patients were ineffective, and no adverse reactions were found. The cure rate was 86.1%, the effective rate was 10.4% and the inefficiency rate was 3.5%. Conclusion Epley reduction is effective in patients with posterior semicircular canal benign paroxysmal positional vertigo. It is recommended as a simple and effective method to treat the disease in primary medical units.