- 期刊
以耳石復位術治療良性陣發性姿勢性眩暈結果之長期追蹤
Long Term Treatment Outcomes for BPPV with Canalith Reponsitioning Procedure
摘要
背景: 良性陣發性姿勢性眩暈（Benign paroxysmal positional vertigo, 以下簡稱BPPV）是耳鼻喉科最常見的內耳疾病之一，其治療方式包括藥物或物理治療，但療效均不佳。而本篇研究的目的，乃將本科疑似良性陣發性姿勢性眩暈之病人，除了用Dix-Hallpike test來診斷外，並加入side-lying test, 來作為BPPV診斷之可能性，以耳石復位術來治療（Canalith repositioning procedure以下簡稱CRP），並且追蹤短期及長期治療效果。 方法: 本資料乃收集2000年5月至2001年3月，於本院求診之眩暈患者中，自訴有姿勢性眩暈病史，並疑似BPPV的病人，總共88名，分別接受問卷調查，Dix-Hallpike test, side-lying test及rolling test後，確定診斷為良性陣發性眩暈症患者，以耳石復位術治療，且利用眩暈症狀指數（patient symptom score），評估患者治療效果。 結果: 依Dix-Hallpike test 確定並診斷為BPPV患者共29名（32%），其結果與side-lying test 之診斷結果完全相同，29名之中，男生10名，女生19名，性別比率約為1比2，年齡層以中老年人居多，接受CRP治療後，1週控制率為73%，1個月的控制率為86%，18個月後有24%復發。 結論: 對於BPPV的診斷，side-lying test是種較容易施行的診斷法，耳石復位術是一種簡單，安全而有效的治療方式，但耳石復位術後，仍有復發的可能性。
並列摘要
BACKGROUND: BPPV is the most common vertiginous disease of the inner ear, and results from various therapeutic modalities, including medical and physical therapy, are often lackluster. Accordingly, once the diagnosis has been confirmed with the side-lying test, a CRP (canalith repositioning procedure) may be contemplated. METHODS: Between May 2000 and March 2001, 88 patients with suspected BPPV were evaluated by questionnaire, and Dix-Hallpike, rolling and side-lying tests. Twenty-nine of the 88 patients were found to have BPPV and underwent CRP. The control rate was analyzed by patient symptom scores. RESULTS: All 29 patients had the diagnosis of BPPV confirmed with Dix-Hallpike and side-lying tests. Of the 29 patients, 10 were male and 19 were female. Most of the patients were middle-aged and senile. The symptom control rate was 73% after once week, and 86% after one month. The recurrence rate was 24% over 18 months. CONCLUSION: The side-lying test is not only easier to perform than the traditional Dix-Hallpike test, but is just as accurate. CRP is an easy, safe and effective therapy for BPPV.