Yun Yanning, Yang Pan, Zhao Hansen, Cheng Zijun, Zhang Ting, Han Peng, Chang Huimin, Xing Juanli
Department of Otorhinolaryngology Head and Neck Surgery，the First Affiliated Hospital of Xi'an Jiaotong University，Xi'an，710061，China.
Department of Neurology，Jingyang County Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Oct;37(10):786-789;795. doi: 10.13201/j.issn.2096-7993.2023.10.004.
To investigate the influence of Barbecure combined with Epley on residual dizziness of horizontal canal benign paroxysmal positional vertigo（HC-BPPV） by SRM-vertigo diagnosis system. A total of 406 patients diagnosed with HC-BPPV from Nov 2021 to Nov 2022 were enrolled by rapid axial roll test and Dix-Hallpike in the department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Xi'an Jiaotong University. The patients were divided into two groups by hospital card numbers, in which the numbers that were odd were considered as group A, and the numbers that were even were considered as group B. The group A underwent two circles of Barbecure repositioning procedure by SRM-vertigo diagnosis system, while the group B underwent two circles Barbecure combined with Epley repositioning procedure by SRM-vertigo diagnosis system. The treatment was stopped on the next day when two groups of patients were cured, and those who were not cured will continue treatment with the same method. The cure rate of group A was 83.41%, and the cure rate of group B was 80.51%, the difference between the two groups was not-statistically significant difference（>0.05）. The rate of residual dizziness of group A was 23.30%, the rate of residual dizziness of group B was 11.46%, the difference between the two groups was statistically significant（<0.05）. The Barbecure combined with Epley otoliths repositioning maneuver by SRM-vertigo diagnosis system can significantly reduce the rate of residual dizziness after the treatment of HC-BPPV, and improve the quality of life of patients.
采用SRM-眩晕诊断系统，探讨Barbecure法联合Epley法对水平半规管良性阵发性位置性眩晕（HC-BPPV）残余头晕的影响。选取2021年11月至2022年11月在西安交通大学第一附属医院耳鼻咽喉头颈外科门诊经快速轴滚试验及Dix-Hallpike试验确诊为HC-BPPV的患者406例。按病历号将患者分为两组，单号者为A组，双号者为B组。A组采用SRM-眩晕诊断系统行两圈Barbecure复位法，B组采用SRM-眩晕诊断系统行两圈Barbecure法联合Epley法复位。两组患者治愈后次日停止治疗，未治愈者继续原方法治疗。A组治愈率为83.41%，B组治愈率为80.51%，两组差异无统计学意义（>0.05）。A组残余头晕发生率为23.30%，B组残余头晕发生率为11.46%，两组差异有统计学意义（<0.05）。采用SRM-眩晕诊断系统行Barbecure法联合Epley法耳石复位手法可显著降低HC-BPPV治疗后的残余头晕发生率，提高患者生活质量。
