| 白文婷,孙 畅,包洪靖,孙丽峰,郭秀玲,王 雯.改良Gufoni法应用于向地眼震型水平半规管良性阵发性位置性眩晕的临床研究[J].,2024,(12):2323-2327 |
| 改良Gufoni法应用于向地眼震型水平半规管良性阵发性位置性眩晕的临床研究 |
| Clinical Study on the Application of Modified Gufoni Maneuver in Geotropic Horizontal Canal Benign Paroxysmal Positional Vertigo |
| 投稿时间：2024-01-03 修订日期：2024-01-28 |
| DOI：10.13241/j.cnki.pmb.2024.12.024 |
| 中文关键词: 水平半规管良性阵发性位置性眩晕 Gufoni法复位 改良Gufoni法复位 疗效 |
| 英文关键词: Horizontal canal benign paroxysmal positional vertigo Gufoni maneuver Modified Gufoni maneuver Curative effect |
| 基金项目:内蒙古自治区卫生健康科技计划项目（202201612） |
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| 中文摘要: |
| 摘要 目的：比较分析向地眼震型水平半规管良性阵发性位置性眩晕（HC-BPPV）患者应用改良Gufoni法与传统Gufoni法的临床疗效。方法：将2017年1月1日至2021年6月30日收治的84例确诊的原发性向地眼震型水平规管良性阵发性位置性眩晕的患者随机分为改良组（42例）和对照组（40例），改良组予以传统Gufoni法联合向健侧甩头复位，对照组予以传统Gufoni法复位，评定两组疗效（观察首次复位30 min、1 d后的疗效，若复位未成功，继续给予相同的手法复位，但复位次数不能超过3次，复位30分钟后对复位效果进行观察）；同时观察复位成功后的残留症状。结果：1.改良组的首次复位成功有38例（90.5%）高于对照组24例（57.2%），两组差异有统计学意义（x2=12.07，P=0.001）。经过3次复位，改良组有41例（97.6%）复位成功，对照组复位成功的有36例（85.7%），两组整体复位成功率比较差异有统计学意义（x2=3.896，P=0.048）。改良组复位成功所需循环次数少于传统组，两组差异有统计学意义（Z=2.071，P=0.047）。2.改良组复位成功后有残余症状的患者占比例为21.4%（9/42），显著低于对照组42.9%（18/42），2组患者之间的差别具有统计学意义（x2=4.421，P=0.035）。改良组的患者中同时出现2种残余症状的比例为4.8%（2/42），低于传统组19.1%（8/42），2组之间的差异有统计学意义（x2=4.086，P=0.043）。结论：改良Gufoni法较传统Gufoni法提高了首次复位、总复位成功率，减少了复位成功所需循环次数，而且减少了残留症状的发生率。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the clinical efficacy of modified Gufoni maneuver and traditional Gufoni maneuver in geotropic HC-BPPV. Methods: 84 patients who were diagnosed as primary geotropic HC-BPPV from January 1st, 2017 to June 30th, 2021 were randomly divided into the modified group (42 cases) and the control group (40 cases). The modified group was treated with Gufoni maneuver combined with head thrust towards unaffected side, and the control group was treated with traditional Gufoni maneuver. Curative effects of the two groups were evaluated (the curative effects at 30 min and 1 d after first reposition were observed. If reposition failed, the previous reposition method was repeated. Each group was given a maximum of 3 times of reposition, and the reposition effect was observed at 30 min after reposition). At the same time, the residual symptoms after successful reposition were observed. Results: 1. The first reposition was successful among 38 cases (90.5%) in the modified group, more than 24 cases (57.2%) in the control group (x2=12.07, P=0.001). Three times of reposition later, 41 cases (97.6%) in the modified group and 36 cases (85.7%) in the control group obtained successful reposition. There was a statistically significant difference in the overall success rate of reposition between the two groups (x2=3.896, P=0.048). The times required for successful reposition was less in the modified group (Z=2.071, P=0.047). 2. The proportion of patients with residual symptoms after successful reposition in the modified group was 21.4% (9/42), significantly lower than 42.9% (18/42) in the control group (x2=4.421, P=0.035). The proportion of patients with two residual symptoms in the modified group was 4.8% (2/42), lower than 19.1% (8/42) in the control group (x2=4.086, P=0.043). Conclusion: Compared with traditional Gufoni maneuver, modified Gufoni maneuver improves the success rate of first reposition and the total success rate of reposition, reduces the times required for successful reposition and the incidence of residual symptoms. |
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