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全球调查对外围前体疾病的治疗

Michael Strupp^1,2, Nils Lucca Kern^1,2, Göran Laurell³

¹German Center for Vertigo and Balance Disorders, LMU University Hospital, LMU Munich, Munich, Germany.

Frontiers in neurology

|February 19, 2025

概括

这项全球调查揭示了诸如BPPV和Meniere病等常见前体疾病的多种治疗方法,强调了不一致的做法和需要基于证据的治疗方法. 进一步的研究对于标准化,有效的患者护理至关重要.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经学神经学
物理疗法物理治疗

背景情况:

周围前体障碍显著影响生活质量.
目前的治疗策略缺乏标准化,因为高质量的研究有限.
有四种主要的治疗方法:物理治疗,药物治疗,手术和心理治疗.

研究的目的:

为了对六种常见的外周前置障碍的全球治疗实践进行调查.
在全球范围内识别治疗方法的变化.
突出缺乏基于证据的指导方针的领域.

主要方法:

一个基于网络的,标准化的调查问卷在全球范围内分发.
收集了关于良性阴道位性 (BPPV),急性单侧静脉病 (AUVP),梅尼尔氏病 (MD),双侧静脉病 (BVP),静脉病 (VP) 和上通道脱综合征 (SCDS) 的治疗选择的数据.
分析了来自全球188个中心的234名参与者的反应.

主要成果:

在所有被调查的前体疾病中,观察到治疗方式的显著异质性.
对于BPPV来说,像Epley和Semont这样的canalith重定位机动是常见的.
药物治疗,特别是贝塔希斯和葡萄糖皮质类药物,经常用于AUVP和MD,尽管证据水平不同.

结论:

对于常见的前体疾病的全球治疗是高度可变的.
在AUVP,MD和VP中使用某些药物普遍存在,尽管支持证据有限.
需要精心设计的临床试验来建立标准化,基于证据的治疗方法来治疗这些疾病.

关键词:

BPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVB 梅尼尔氏病是梅尼尔氏病的一个疾病.在SCDS中,SCDS是SCDS.急性单侧前庭病变急性单侧前庭病变贝塔希斯类药物 (betahistine) 是一种双边前庭病变 - 双边前庭病变周围前体疾病周围前体疾病在前庭性偏激症.

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