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早期治疗良性发性定位性,其次是突然的感觉神经神经听力损失

Gui Fang Li¹, Man Liu, Yan Zhuo Zhang

¹Department of Otolaryngology, Hebei Provincial Eye Hospital, Hebei Provincial Key Laboratory of Ophthalmology, Hebei Provincial Eye Institute, Xingtai, Hebei, China.

|October 6, 2023

概括

在一周内治疗由突然感觉神经听力损失 (SSNHL) 引起的良性发性位置性 (BPPV) 需要药物治疗. 手动减少疗法在这些情况下没有额外的益处,与初级BPPV不同.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经学神经学
静脉管疾病静脉管疾病

背景情况:

突然的感觉神经听力损失 (SSNHL) 经常与良性发性定位 (BPPV) 一起发生.
对于原发性BPPV存在既定的治疗方法,但有限的研究在发病一周内解决了BPPV继发性到SSNHL的治疗方法.

研究的目的:

在SSNHL患者中研究二次BPPV的治疗疗效.
为了比较二次性BPPV与初级BPPV的手动减少技术.

主要方法:

一项研究涉及90名SSNHL和BPPV患者在一周内,以及210名初级BPPV患者.
二次性BPPV患者被分为仅用药和手动减肥加药组.
药物包括金科比洛巴提取物,贝塔希斯化和普雷迪尼松;对后部,水平和多重半圆通道BPPV的疗效进行了评估.

主要成果:

在第7天的二次BPPV中,仅用药和手动减量加药组之间没有观察到有效性的显著差异.
与SSNHL和BPPV组相比,初级BPPV组的立即减少效果显著更好,对于后部和水平通道BPPV.
在两个组之间,对于多个半圆通道BPPV,没有发现立即减少效果的差异.

结论:

对于在一周内发生SSNHL的二次BPPV,额外的手动减少疗法对单独服用药物没有额外的益处.
在最近的SSNHL背景下,药物治疗是治疗BPPV的推方法.
可能需要进一步的研究来了解结合SSNHL和BPPV治疗的细微差别.

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