The assessment of sequential treatment for subjective and objective benign paroxysmal positional vertigo / 临床耳鼻咽喉头颈外科杂志
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
;
(24): 386-388, 2016.
Article
in Chinese
| WPRIM
| ID: wpr-749652
ABSTRACT
OBJECTIVE@#To compare the effectiveness of sequential treatment for subjective and objective benign paroxysmal positional vertigo(BPPV).@*METHOD@#The efficacy of sequential treatment for nineteen vertical semicircular canal S-BPPV patients(Group A) and forty-five vertical semicircular canal O-BPPV patients(Group B) who were admitted to our hospital between January 2014 and July 2015 was retrospectively analyzed and compared, treatment of five cases with horizontal semicircular canal S-BPPV was reported here as well.@*RESULT@#The number of repositioning maneuver for Group A was 2 - 6 times (average 4. 21±1. 18) while 2 - 3 times (average 2. 29 ± 0. 46) for Group B. There was significant difference between the two groups(P<0. 01). The effective rate of initial treatment for Group A was 78. 9%(15/19) while 82. 2%(37/45)for Group B. After one weeks treatment, the effective rate for Group A changed to be 89. 5% (17/19)while 88. 9% (40/45) for Group B. Non-significant difference was found in the two groups neither in the initial nor one weeks treatment. On three months' follow-up, one in Group A and two in Group B relapsed, and they were cured after treated in the initial treatment. The recurrence for Group A was 5. 3%(1/19) while 4. 4%(2/45) for Group B and there was non-significant difference. The five cases with horizontal semicircular canal S-BPPV were completely free of disease after undergoing treatment.@*CONCLUSION@#The sequential treatment is effective for both vertical semicircular canal S-BPPV and vertical semicircular canal O-BPPV, but the former needs more repositioning maneuver times. The repositioning maneuver, combined with drug therapy and head-shake-in-supine-position method is recommended for horizontal semicircular canal S-BPPV.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Therapeutics
/
Semicircular Canals
/
Retrospective Studies
/
Treatment Outcome
/
Patient Positioning
/
Benign Paroxysmal Positional Vertigo
Type of study:
Observational study
Limits:
Humans
Language:
Chinese
Journal:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
Year:
2016
Type:
Article
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