Abstract：Objective: To observe the therapeutic effect of the method of clinical application on benign paroxysmal positional vertigo ( BPPV ) . Methods: A total of 154 suspected BPPV patients treated in our hospital from August 2016 to August 2017 were selected as the main study subjects. According to the characteristics of nystagmus induced by video-ocystagmus transposition experiment, BPPV was used to determine the side and type. According to the results of typing, the appropriate manual reduction was selected. The posterior semicircular canal (PC-BPPV) was treated by Eply manual reduction and the upper semicircular canal (SC-BPPV) by semont manual reduction. Horizontal Regulation (HC-BPPV) was reset by Barbecue tumbling and mixed BPPV (C-BPPV) by Eply and 3 - month follow-up. Results: Of the 154 BPPV patients, 106 PC-BPPV (68.83%) were detected; 27 cases of HC - BPPV were detected; 14 cases of SC - BPPV ( 9.09 % ) were detected; 7 cases of C - BPPV ( 4.55 % ) were detected; and the total effective rates were 85.71 % and 93.51 % after 1 week and 3 months after operation. Conclusions: The video nystagmus can effectively classify the BPPV side. Under the surveillance, the manipulative reduction can effectively control the reset technique and improve the therapeutic effect of the clinical manipulation to the BPPV, and the recurrence rate is low after the operation, which has the clinical value.
2018, Vol. 24 
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