各型bppv的诊断手法及复位技巧-课件.ppt

1、The vestibular system管石复位原理示意图After the maneuver is performed (for 2 nights)Brandt-Daroff Exercises Bhattacharyya N,Clinical practice guideline:benign paroxysmal positional vertigo.Otolaryngol Head Neck Surg.2019 Nov;139(5 Suppl 4):S47-81 In summary,vestibular suppressant medications are not recomme

2、nded for treatment of BPPV,other than for the short-term management of vegetative symptoms such as nausea or vomiting in a severely symptomatic patient.Bhattacharyya N,Clinical practice guideline:benign paroxysmal positional vertigo.Otolaryngol Head Neck Surg.2019 Nov;139(5 Suppl 4):S47-81 Clin Neur

3、ol 2019;4:107-110l手法复位有效率约80%，其中60%患者会出现“眩晕残余症状”l“眩晕残余症状”持续时间16.417.6天l原因 1、耳石残片刺激 2、复位后前庭需要重新代偿 3、囊斑功能障碍 4、伴发难以鉴别的其它前庭疾病使用前庭代偿促进剂倍他司汀，可缓解“眩晕残余症状”吴子明，BPPV的诊断治疗，中华耳科学杂志，20003，3，42-45吴子明，张淑珍等，甲磺酸倍他司汀治疗内耳缺血相关性眩晕的疗效研究，中国听力语言康复科学杂志，2019，5，26-29马鑫等，后半规管BPPV患者复位中眼震分析，中华耳鼻咽喉头颈外科杂志，2009.5.377-380E Mira Italy;Eur Arch Otorhinolaryngol;2019,260:7377 2019E Mira Italy;Eur Arch Otorhinolaryngol;2019,260:7377 2019E Mira Italy;Eur Arch Otorhinolaryngol;2019,260:7377 2019全方位入手确保疗效全方位入手确保疗效