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Effect of SRM-Ⅳ vestibular diagnosis and treatment system on benign paroxysmal positional vertigo without nystagmus |
YI Yang1, HUANG Ying1, LI Hao1, LI Jieying2 |
1.Department of Vertigo Institute, Guizhou Provincial Crops Hospital of Chinese People’s Armed Police Force, Guiyang 550005,China; 2.Department of Neurology, Second People’s Hospital of Guiyang, Guiyang 550081, China; |
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Abstract Objective To evaluate the therapeutic efficacy of SRM-Ⅳ vestibular function diagnosis and treatment system against benign paroxysmal positional vertigo(BPPV)without nystagmus.Methods Sixty-four patients were diagnosed with the posterior and horizontal semicircular BPPV without nystagmus according to clinical symptoms and positional test. They were randomly divided into three groups and treated for one week. Twenty-four of these patients underwent automatic positional maneuver by the SRM-Ⅳ vestibular function diagnosis system, another 24 patients underwent traditional positional maneuver, and 16 patients received medication.Results After one week, the difference of the recovery rate and total effective rate was statistically significant (P<0.05) between the machine group and the traditional group. The recovery rate and total effective rate of the machine group were significantly higher than those of the drug group (P<0.05).Conclusions The positional therapy by the automatic SRM-Ⅳ system can be an effective and reliable approach to BPPV without nystagmus.
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Received: 20 February 2018
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[1] |
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): 1267-1272.
|
[2] |
Brevern M, Bertholon P, Brandt T, et al. Benign paroxysmal positional vertigo: Diagnostic criteria[J]. J Vestib Res, 2015, 25(3-4): 105-117.
|
[3] |
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.
|
[4] |
王暖, 耿德勤, 周昊,等. SRM-Ⅳ前庭功能诊疗系统治疗良性阵发性位置性眩晕疗效分析[J]. 中国临床神经科学, 2016, 24(6):635-640.
|
[5] |
Parnes L S, Agrawal S K, Atlas J.Diagnosis and management of benign paroxysmal positional vertigo (BPPV)[J]. CMAJ, 2003, 169(7): 681-693.
|
[6] |
Hall S F, Ruby R R, Mcclure J A.The mechanics of benign paroxysmal vertigo[J]. J Otolaryngol, 1979, 8(2): 151-158.
|
[7] |
Schuknecht H F.Positional vertigo: clinical and experimental observations[J]. Trans Am Acad Ophthalmol Otolaryngol, 1962, 66:319-332.
|
[8] |
马鑫, 司峰志, 刘燕, 等. 良性阵发性位置性眩晕变位试验假阴性原因分析[J]. 临床耳鼻咽喉头颈外科杂志, 2016, 30(1):19-20.
|
[9] |
Tan J, Yu D, Feng Y, et al. First-referral presentations of patients with benign paroxysmal positional vertigo who were negative on positional testing and who lacked nystagmus[J]. Eur Arch Otorhinolaryngol, 2015, 272(11): 3247-3251.
|
[10] |
Balatsouras D G, Korres S G.Subjective benign paroxysmal positional vertigo[J]. Otolaryngol Head Neck Surg, 2012, 146(1): 98-103.
|
[11] |
庄建华, 黄坚, 赵忠新, 等. 主观性良性阵发性位置性眩晕的临床表现和治疗[J]. 中华耳鼻咽喉头颈外科杂志, 2007, 42(3): 177-179.
|
[12] |
Alvarenga G A, Barbosa M A, Porto C C.Benign Paroxysmal Positional Vertigo without nystagmus: diagnosis and treatment[J]. Braz J Otorhinolaryngol, 2011, 77(6):799-804.
|
[13] |
于立民, 刘鸣, 金德钧, 等. 无明显眼震的良性阵发性位置性眩晕患者手法复位疗效分析[J]. 听力学及言语病学杂志, 2013, 21(3):289-290.
|
[14] |
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): S47-81.
|
[1] |
. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(1): 77-78. |
|
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