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題名 | 耳石粒子復位法:一種治療良性陣發性位置性眩暈之有效方法=Particle Repositioning Maneuver: An Effective Treatment for Benign Paroxysmal Positional Vertigo |
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作者 | 劉明德; 陳彥銘; Liu, Ming-te; Chen, Yuang-ming; |
期刊 | 中華民國耳鼻喉科醫學會雜誌 |
出版日期 | 19980600 |
卷期 | 33:3 1998.06[民87.06] |
頁次 | 頁51-57 |
分類號 | 416.861 |
語文 | chi |
關鍵詞 | 良性陣發性位置性眩暈; 耳石粒子復位法; 耳石; Benign paroxysmal positional vertigo; Particle repositioning maneuver; Canalith; |
中文摘要 | 背景:對於良性陣發性位置性眩暈( benign paroxysmal positional vertigo, 簡稱 BPPV )的治療,過去不論使用藥物治療或物理治療,效果均不佳,自 1979 年 Epley 提出“耳石復位法”( canalith repositioning procedure, 簡稱 CRP )來治療病人,其 成功率可達 80%以 上,且因方法簡易可靠而廣為採用。 方法:本科自 1995 年 1 月至 1996 年 5 月,共 72 人被診斷為良性陣發性位置性眩暈而 接受修飾過的“耳石粒子復位法”( particle repositioning maneuver, 簡稱 PRM )治 療。 其中 65 人完成追蹤,男性 21 人,女性 44 人,平均年齡 49.1 歲,平均追蹤 11.1 個月。 結果:症狀完全消失共 55 人(其中 37 人只做一次 PRM,其餘做 2 ∼ 5 次),占 84.6% ;症狀改善而仍微暈者共 7 人,占 10.8%;症狀持續而沒有改善共 3 人,占 4.6%。 結論:臨床經驗顯示,耳石粒子復位法是一簡單、可靠而有效的治療方法,可做為治療良性 陣發性位置性眩暈之第一線選擇。 |
英文摘要 | Background: Benign paroxysmal positional vertigo (BPPV) is a disorder of the inner ear, usually of the posterior semicircular canal (PSC). Traditional treatment, no matter by medicines or by physical therapy such as vestibular habituation, has proved to be of little effect. The recent demonstration of free-floating particles (canaliths) in the endolymph of the PSC in patients with BPPV has renewed the interest and teatment of this disease. The particle repositioning maneuver (PRM), an effective method modified from Epley's canalith repositioning procedure (CRP) relocates the canaliths from the PSC back into the utricle, relieving the patients of annoying, often long standing vertigo. Methods: A prospective study of 65 consecutive patients diagnosed as BPPV by Dix and Hallpike's description from January 1995 to May 1996. All of the patients (mean 49.1 years old) received the PRM with follow-up period ranged from 6 to 20 months (mean 11.1 months). Results: The PRM relieved symptoms without recurrence in 55 (84.6) patients. A partial response was noted in 7 (10.8%) patients, and there was no improvement in 3 (4.6%) patients. Conclusion: Particle repositioning maneuver is a simple, safe and effective treatment for most patients with BPPV and recommended it as the first-line treatment modality for BPPV. |
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