良性阵发性位置性眩晕复位成功后残留症状特点及其影响因素

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (519 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study the clinical characteristics and factors associated with residual symptoms in patients with benign paroxysmal positional vertigo (BPPV) after successful canalith repositioning maneuvers. Methods 37 patients with P-BPPV, 28 patients with H-BPPV, and 12 patients with M-BPPV totaled 77 after successful repositioning maneuvers(SRM-Ⅳ)for benign paroxysmal positional vertigo were recruited in the prospective study.The clinical characteristics and factors associated with residual symptoms were studied.Results Of the 77 patients,37 patients (48.1%) reported residual symptoms after successful repositioning maneuver, including dizziness 27% (10/37), unsteady 16.2% (6/37), neck malaise 21.7% (8/37), two combined residual symptoms 32.4% (12/37), three combined residual symptoms 2.7% (1/37). The number of repositioning maneuvers were associated with an increased risk of residual symptoms.No association was observed between residual symptoms and poor sleeping and tiredness before illness,involved semicircular canal, gender, age, duration of vertigo.Conclusions Residual symptoms after successful repositioning can be observed in the patients with BPPV.The cardinal residual symptoms are dizziness,unsteadiness and neck malaise. The number of repositioning maneuvers are associated with an increased risk of residual symptoms.

Key words： benign paroxysmal positional vertigo residual symptoms dizziness unsteadiness neck malaise

Received: 15 January 2016

ZTFLH:

R764.3

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	JI Li
	PENG Xin
	SUN Qing
	RAO Rendong
	and SHAN Xizheng

Cite this article:

JI Li,PENG Xin,SUN Qing等. The clinical characteristics and factors with residual symptoms after successful canalith repositioning maneuvers in patients with benign paroxysmal positional vertigo[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(7): 655-657.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2016/V27/I7/655

[1]	Parnes L S, Agrawal S K, Atlas J. Diagnosis and management of benign paroxysmal positional vertigo (BPPV)[J]. CMAJ, 2003, 169(7): 681-693.
[2]	Bhattacharyya N, Baugh R F, Orvidas L,et al. Clinical practice guideline: benign paroxysmal positional vertigo[J]. Otolaryngol Head Neck Surg, 2008, 139(5 Suppl 4): S47-S81.
[3]	Seok J I, Lee H M, Yoo J H,et al. Residual dizziness after successful repositioning treatment in patients with benign paroxysmal positional vertigo[J]. J Clin Neurol, 2008, 4(3): 107-110.
[4]	中华医学会耳鼻咽喉科学分会.良性阵发性位置性眩晕的诊断依据和疗效评估 [J]. 中华耳鼻咽喉头颈外科杂志, 2007,25(3): 163-164.
[5]	Balatsouras D G, Koukoutsis G, Ganelis P,et al. Diagnosis of single- or multiple-canal benign paroxysmal positional vertigo according to the type of nystagmus[J]. Int J Otolaryngol, 2011, 2011: 483965.
[6]	Shan X, Peng X, Wang E. Efficacy of computer-controlled and modified roll maneuver for treatment of geotropic lateral canal benign paroxysmal positional vertigo[J]. Otol Neurotol, 2015, 36(8): 1412-1416.
[7]	Shan X, Peng X, Wang E. Efficacy of computer-controlled repositioning procedure for benign paroxysmal positional vertigo[J]. Laryngoscope,2015,125(3):715-719.
[8]	单希征,马丽涛,彭新,等. 良性阵发性位置性眩晕诊疗系统对良性阵发性位置性眩晕诊疗效果的临床研究[J]. 中国卒中杂志, 2013,8(5): 340-345.
[9]	Di Girolamo S, Ottaviani F, Scarano E,et al. Postural control in horizontal benign paroxysmal positional vertigo[J]. Eur Arch Otorhinolaryngol, 2000, 257(7): 372-375.
[10]	Seo T, Saka N, Ohta S,et al. Detection of utricular dysfunction using ocular vestibular evoked myogenic potential in patients with benign paroxysmal positional vertigo[J]. Neurosci Lett, 2013, 550: 12-16.
[11]	Pollak L, Davies R A, Luxon L L. Effectiveness of the particle repositioning maneuver in benign paroxysmal positional vertigo with and without additional vestibular pathology[J]. Otol Neurotol, 2002, 23(1): 79-83.
[12]	Horak F B. Postural compensation for vestibular loss and implications for rehabilitation[J]. Restor Neurol Neurosci, 2010, 28(1): 57-68.
[13]	Stambolieva K, Angov G. Postural stability in patients with different durations of benign paroxysmal positional vertigo[J]. Eur Arch Otorhinolaryngol, 2006, 263(2): 118-122.
[14]	章燕幸,吴承龙,钟芳芳. DHI量表在老年位置性眩晕复位后残余症状评估中的应用[J]. 中华全科医学, 2014,12(9): 1373-1375.

[1]	. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(1): 77-78.