良性阵发性位置性眩晕复位即时疗效不佳的影响因素

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Abstract Objective To investigate the factors that lead to the poor immediate effect of reposition for benign paroxysmal positional vertigo.Methods Ninety-five cases of BPPV patients with poor immediate effect after the automatic vestibular function diagnosis and therapy system(SRM-Ⅳ) treatment at our hospital between January 2016 and December 2017 were selected as the ineffective group, while 285 cases with immediate effect served as the effective group. Clinical features were compared between the two groups to identify the causes of poor immediate effect.Results Multivariate analysis of logistic regression showed that head injury, vestibular neuritis and sudden deafness were risk factors for poor immediate effect for benign paroxysmal positional vertigo (OR was 3.444, 10.009 and 5.934, respectively, P<0.05). Poor immediate effect was more likely to occur in the multiple semicircular canal (BPPV) than in the posterior semicircular canal or the horizontal semicircular canal BPPV (P<0.05).Conclusions The effect of basic examination ought to be improved to detect risk factors for poor immediate effect for BPPV earlier, and targeted approaches have to be devised to reduce the times of reposition and shorten the course of treatment.

Key words： immediate effect benign paroxysmal positional vertigo influencing factor

Received: 19 March 2018

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	Articles by authors
	YAN Yaping
	CUI Chengmin
	ZHANG Shuxiang

Cite this article:

YAN Yaping,CUI Chengmin,ZHANG Shuxiang. Analysis of poor immediate effect of reposition for benign paroxysmal positional vertigo[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(8): 776-779.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2018/V29/I8/776

[1]	Purnamasari P P.Diagnosis and management benign paroxysmal positional vertigo (BPPV)[J].E-Jurnal Medika Udayana,2013,2(6):1056-1080.
[2]	孙勍, 马丽涛, 李娜,等. 前庭功能诊治系统SRM-Ⅳ在良性阵发性位置性眩晕中的应用[J]. 中华耳科学杂志, 2010, 8(1):83-85.
[3]	闫亚平, 薄建华. SRM-Ⅳ型前庭功能治疗系统治疗耳石症68例[J]. 武警医学, 2015, 26(12):1267-1268.
[4]	中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会. 良性阵发性位置性眩晕诊断和治疗指南(2017)[J]. 中华耳鼻咽喉头颈外科杂志, 2017,52(3):173-177.
[5]	刘宏建, 王广科, 马崧,等. 外伤后良性阵发性位置性眩晕的临床特点和治疗[J]. 中国耳鼻咽喉头颈外科, 2011, 18(8):427-429.
[6]	赵晓明, 刘劲, 林春梅,等. 良性阵发性位置性眩晕复位短期疗效不佳的分析[J]. 中华耳科学杂志, 2016, 14(4):473-477.
[7]	Yamamoto H, Sunami K,Yamane H.Clinical characteristics of post traumatic benign paroxysmal positional vertigo[J]. Otolaryngol Head Neck Surg, 2013, 149(2):218-219.
[8]	李进让, 张昊, 郭鹏飞. 快速手法复位治疗多半规管良性阵发性位置性眩晕的近远期疗效分析[J]. 中国耳鼻咽喉颅底外科杂志, 2015, 21(3):191-194.
[9]	李亚楠. 良性阵发性位置性眩晕患者临床特点及手法复位疗效分析[J]. 中外医学研究,2015,13(10):47-49.
[10]	吴子明, 张素珍, 刘兴健,等. 突发性聋与前庭神经炎病因学比较研究[J]. 中华耳科学杂志,2010,8(2):134-136.
[11]	王英歌, 潘黎静, 顾晰,等. 顽固性良性阵发性位置性眩晕的发病机制及治疗[J]. 中华耳科学杂志, 2011, 9(4):372-375.
[12]	郝文玮, 杨静. 前庭神经炎的鉴别与治疗进展[J]. 中国煤炭工业医学杂志, 2013, 16(4):682-683.
[13]	李菊兰, 蔡华成, 徐海,等. 突聋伴发良性阵发性位置性眩晕诊治分析[J]. 听力学及言语疾病杂志, 2011, 19(5):428-430.