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目的探讨手法复位对主观性良性阵发性位置性眩晕(S-BPPV)的临床疗效。方法通过变位试验(Roll试验和Dix-hallpike试验)对50例诊断S-BPPV患者进行分型及侧别判定,对可能的后半规管S-BPPV患者采用Epley手法复位,对水平半规管S-BPPV患者采用Barbecue翻滚法复位,对混合型S-BPPV患者采用Epley手法联合Barbecue翻滚法复位,连续治疗3周,观察临床疗效及不良反应。结果 3周后随访时治愈38/50例(76%),有效46/50例(92%),无效4/50例(8%),无严重不良反应。结论根据典型病史及变位试验可判断S-BPPV的类型及侧别,给予相应的手法复位治疗效果显著、简便、安全,适于临床推广。
Objective To investigate the clinical effect of manual reduction on subjective benign paroxysmal positional vertigo (S-BPPV). Methods Fifty patients with S-BPPV were classified by type test and Dix-hallpike test. The potential hemiversophageal S-BPPV patients were treated with Epley reduction, The patients were treated with Barbecue tumbling. The patients with mixed S-BPPV were treated with Epley and Barbecue tumbling. The patients were treated for 3 weeks continuously to observe the clinical efficacy and adverse reactions. Results 38/50 cases (76%) were cured after 3 weeks, 46/50 (92%) were effective, 4/50 (8%) were ineffective, and no serious adverse reactions were observed. Conclusion According to the typical history and displacement test, the type and side of S-BPPV can be judged, and the corresponding reduction and treatment of the S-BPPV is significant. It is simple, safe and suitable for clinical promotion.