目的 比较单纯手法复位和手法复位合并口服抗眩晕药治疗良性阵发性位置性眩晕（BPPV）的短期和长期疗效。 方法 将2004年1月－2011年6月期间收治的236例BPPV患者随机分为两组，对照组112例采用单纯手法复位，观察组124例在手法复位基础上配合口服抗眩晕药治疗，两组均于1周和3个月后复查，并随访观察1年，且比较其疗效。 结果 观察随访1年后，对照组总治愈率92.86% (104/112），观察组治愈率为93.54%（116/124），两者比较差异无统计学意义。 结论 单纯手法复位和手法复位合并口服抗眩晕药治疗BPPV其疗效相当，但可作为BPPV患者的首选治疗方法。Objective To evaluate the short-term and long-term effect of canalith repositioning procedures with or without anti-vertigo drugs on benign paroxysmal positional vertigo (BPPV). Methods A total of 236 cases of BPPV that were treated with particle repositioning maneuver with medicine treatment from January 2004 to June 2011. The patients were divided into control group (112 patients, underwent canalith repositioning procedures) and observation group (124 patients, underwent canalith repositioning procedures with medication of anti-vertigo drugs). The two groups were reappraised after one week and three months respectively, and the follow-up duration was one year. Results The success rate was 92.86% (104/112) in the control group and 93.55%(116/124) in the observation group one year after the treatment. The difference between the two groups was not significant. Conclusion The effect of canalith repositioning procedures with or without anti-vertigo drugs on BPPV does not differ much from each other.
目的 探讨管石复位法（Epley法）和嵴顶耳石解脱法（Semont法）两种手法复位治疗后半规管良性阵发性位置性眩晕（BPPV）患者的疗效。 方法 收集2009年9月－2011年1月就诊的后半规管BPPV患者60例，依据随机数字表法平均分配到两个治疗组，分别采用Epley法和Semont法进行治疗，观察患者眩晕改善情况，并随访3～12个月。 结果 两种方法的治愈有效率在治疗后1、2、3周，3个月时差异无统计学意义（P＞0.05）。所有患者随访3～12 个月，均无复发，治疗后均无不良反应。 结论 两种方法治愈有效率相近。治疗时可先选用Epley法，疗效不佳，再选择Semont法。