The canalith repositioning procedure for the treatment of benign paroxysmal positional vertigo: a randomized controlled trial.
The canalith repositioning procedure for the treatment of benign paroxysmal positional vertigo: a randomized controlled trial.
复制标题
用于治疗良性阵发性位置性眩晕的耳石重新定位手术:一项随机对照试验。
DOI:
10.4065/75.7.695
复制
发表时间:
2000
影响因子:
8.9
通讯作者:
M. Silverstein
中科院分区:
文献类型:
--
作者:
David A. Froehling;J. Bowen;D. Mohr;R. Brey;C. Beatty;P. Wollan;M. Silverstein
OBJECTIVE
To compare the canalith repositioning procedure (CRP) with a sham maneuver for the treatment of benign paroxysmal positional vertigo.
PATIENTS AND METHODS
We recruited 50 patients with a history of positional vertigo and unilateral positional nystagmus on physical examination (Dix-Hallpike maneuver). Patients were randomized to either the CRP (n = 24) or a sham maneuver (n = 26). Measured outcomes included resolution of vertigo and positional nystagmus at follow-up examination.
RESULTS
The mean duration of follow-up was 10 days for both groups. Resolution of symptoms was reported by 12 (50%) of the 24 patients in the CRP group and by 5 (19%) of the 26 patients in the sham group (P = .02). The results of the Dix-Hallpike maneuver were negative for positional nystagmus in 16 (67%) of 24 patients in the CRP group and in 10 (38%) of 26 patients in the sham group (P = .046).
CONCLUSION
The CRP is effective treatment of benign paroxysmal positional vertigo, and this procedure can be performed by general internists on outpatients with this disorder.
DOI:
10.1001/archotol.1993.01880160098015
发表时间:
1993
期刊:
Archives of otolaryngology--head & neck surgery
影响因子:
--
作者:
Herdman,SJ;Tusa,RJ;Zee,DS;Proctor,LR;Mattox,DE
通讯作者:
Mattox,DE