耳石手法复位治疗地感性水平半规管良性阵发性位置性眩晕（HC-BPPV）——更佳的选择。
Li Maneuver for geotropic horizontal canal benign paroxysmal positional vertigo (HC-BPPV) -A better choice.
机构信息
Department of Otolaryngology Head and Neck Surgery, Sixth Medical Center of PLA General Hospital, China.
Department of Otolaryngology Head and Neck Surgery, Sixth Medical Center of PLA General Hospital, China.
出版信息
Am J Otolaryngol. 2021 Sep-Oct;42(5):103132. doi: 10.1016/j.amjoto.2021.103132. Epub 2021 Jun 19.
PURPOSE
This study aimed to retrospectively evaluate the efficacy of Li Maneuver as a repositioning maneuver for geotropic HC-BPPV, compared with Gufon Maneuver.
METHODS
Data of geotropic HC-BPPV patients treated at our department between January 2009 and January 2020 was retrospectively collected and analyzed. Enrolled cases were divided into Gufoni Group and Li Group. Follow-up results were recorded on the first, third, and seventh day after the first therapeutic maneuver.
RESULTS
A total of 254 cases were enrolled, with 87 cases in Gufoni Group, and 167 cases in Li Group. The cure rate at the first, third, and seventh days of follow-up was 62.22%, 77.01%, and 90.80% respectively for Gufoni Group, while for Li Group the number was 60.48%, 72.46%, and 89.22% respectively. Statistical analysis showed no significant difference.
CONCLUSIONS
Li Maneuver for geotropic HC-BPPV was as effective as Gufoni Maneuver but much simpler and faster. By introducing Li Maneuver, we may help physicians to treat geotropic HC-BPPV patients more willingly, which would decrease the chance of delayed treatment and ease the burden of the health-care system.
目的
本研究旨在回顾性评估 Li 手法作为治疗地旋性水平半规管良性阵发性位置性眩晕（HC-BPPV）的复位方法的疗效，并与 Gufoni 手法进行比较。
方法
回顾性收集分析 2009 年 1 月至 2020 年 1 月我科治疗的地旋性 HC-BPPV 患者的资料。将纳入的病例分为 Gufoni 组和 Li 组。记录首次治疗后第 1、3、7 天的随访结果。
结果
共纳入 254 例患者，其中 Gufoni 组 87 例，Li 组 167 例。Gufoni 组首次、第 3、第 7 天的治愈率分别为 62.22%、77.01%和 90.80%，Li 组分别为 60.48%、72.46%和 89.22%。统计学分析无显著差异。
结论
Li 手法治疗地旋性 HC-BPPV 与 Gufoni 手法同样有效，但更简单、更快。引入 Li 手法可帮助医生更愿意治疗地旋性 HC-BPPV 患者，减少延迟治疗的机会，减轻医疗系统的负担。
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