目的 回顾性分析我科门诊及住院患者中顽固性良性阵发性位置性眩晕的患者,分析发病因素及治疗手段,为顽固性良性阵发性位置性眩晕的发病机理及治疗提供新思路.方法 收集2010年1月-2010年12月我科门诊诊断为顽固性良性阵发性位置性眩晕的患者16人,分析发病因素、治疗手段及预后.结果 16例患者经手法复位、体位训练及药物辅助治疗后,眩晕症状基本消失,随访半年未再发作.结论 顽固性良性阵发性位置性眩晕发病机制可能与内耳缺血、运动及活动减少有关,我们采用保守治疗的方法,疗效满意.
Objective To study the pathogenesis and treatment of intractable benign paroxysmal positional vertigo (BPPV). Methods Clinical data of 16 patients with intractable BPPV were retrospectively reviewed for possible pathogenic factors and factors affecting treatment outcomes. Results Treatments combining repositioning maneuvers, daily exercise and medications resulted in symptom disappearance with no recurrence in all 16 patients. Conclusion The pathogenesis of intractable BPPV may relate to ischemic internal ear process and lack of physical activities. Our approach to this condition with a combination of positional maneuvers, exercise and medications appears to be effective.
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