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一种新型良性阵发性位置性眩晕家庭治疗设备的疗效

Efficacy of a new home treatment device for benign paroxysmal positional vertigo.

作者信息

Bromwich Matthew, Hughes Brian, Raymond Mark, Sukerman Sydney, Parnes Lorne

机构信息

Department of Otolaryngology, University of Western Ontario, London, Ontario, Canada.

出版信息

Arch Otolaryngol Head Neck Surg. 2010 Jul;136(7):682-5. doi: 10.1001/archoto.2010.105.

DOI:10.1001/archoto.2010.105
PMID:20644063
Abstract

OBJECTIVE

To prospectively test the efficacy of a device for the home treatment of benign paroxysmal positional vertigo (BPPV).

DESIGN

Multicenter prospective cohort study.

SETTING

Community and tertiary care clinic offices and patient homes.

PATIENTS

Forty patients with active BPPV.

INTERVENTIONS

Training on and treatment with a home treatment device (The DizzyFIX) as their primary therapy technique.

MAIN OUTCOME MEASURE

The Dix-Hallpike maneuver at 1 week after treatment.

RESULTS

Patients using the home treatment device had no evidence of nystagmus in posttreatment Dix-Hallpike maneuvers at 1 week in 88% of cases (n = 40). This rate was comparable to standard treatment. There were no significant complications.

CONCLUSION

The use of this device enables patients with an established diagnosis of posterior canal BPPV to safely conduct an effective particle repositioning maneuver and achieve success rates similar to those found with the standard Epley maneuver.

摘要

目的

前瞻性地测试一种用于家庭治疗良性阵发性位置性眩晕(BPPV)的设备的疗效。

设计

多中心前瞻性队列研究。

地点

社区及三级医疗诊所办公室和患者家中。

患者

40例活动性BPPV患者。

干预措施

使用一种家庭治疗设备(DizzyFIX)进行培训并将其作为主要治疗技术。

主要观察指标

治疗后1周的Dix-Hallpike试验。

结果

使用家庭治疗设备的患者中,88%(n = 40)在治疗后1周的Dix-Hallpike试验中无眼球震颤迹象。该比率与标准治疗相当。无显著并发症。

结论

使用该设备能使已确诊为后半规管BPPV的患者安全地进行有效的颗粒复位操作,并取得与标准Epley手法相似的成功率。

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