Ju J, Li J R, Zou S Z
Department of Otolaryngology Head and Neck Surgery, Navy General Hospital, Beijing, 100048, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Dec 20;31(24):1872-1874. doi: 10.13201/j.issn.1001-1781.2017.24.002.
To provide evidence and strategy for treatment of very old patients with benign paroxysmal positional vertigo (v-BPPV) by retrospective analysis of v-BPPV patients. According to the criteria, 19 v-BPPV patients were collected, aging from 80 to 91 years old, including 10 horizontal semicircular canal BPPV (HC-BPPV), 4 posterior semicircular canal (PC-BPPV) and 5 mutiple semicircular canal BPPV patients. PC-BPPV patients were treated by Epley or Li maneuver, and HC-BPPV patients were treated by Barbecue or Li maneuver. Each patient was treated twice, with an interval of 5 to 10 minutes. Rates of 3-day cure and efficacy were 63.16% and 94.74%, respectively. Rates of 1-week cure and efficacy were 89.47% and 100.00%, respectively. v-BPPV can have good outcomes via proper treatment. Age should not influence BPPV outcomes, while we should pay more attention to v-BPPV patients' physiclal status and systematic diseases which may increase risk to diagnosis and treatment.
通过对老年良性阵发性位置性眩晕（v-BPPV）患者进行回顾性分析，为治疗高龄v-BPPV患者提供依据和策略。根据标准，收集了19例v-BPPV患者，年龄在80至91岁之间，其中包括10例水平半规管BPPV（HC-BPPV）、4例后半规管BPPV（PC-BPPV）和5例多半规管BPPV患者。PC-BPPV患者采用Epley法或李氏法治疗，HC-BPPV患者采用翻滚法或李氏法治疗。每位患者治疗两次，间隔5至10分钟。3天治愈率和有效率分别为63.16%和94.74%。1周治愈率和有效率分别为89.47%和100.00%。通过适当治疗，v-BPPV可取得良好疗效。年龄不应影响BPPV的治疗效果，同时我们应更加关注v-BPPV患者的身体状况和可能增加诊断及治疗风险的系统性疾病。
