【摘要】 目的 比较改良的Epley耳石复位法(MEP)和改良的Semont耳石复位法(MSM)用于后半规管良性阵发性 位置性眩晕(PC-BPPV)自身治疗的疗效。 方法 对2001年7月～2003年6月的70例PC-BPPV患者分别给予MEP和 MSM进行自身治疗，1周后比较两组缓解率和治疗的不良反应。 结果 MEP组(n=37)中95%患者完全缓解，而MSM组 (n=33)仅为58%( P<0.001 )。MSM组中，治疗的失败与动作执行的不准确密切相关。与两组治疗有关的不良反应差异 无显著性。 结论 MEP比MSM能更有效地缓解PC-BPPV，推荐MEP为患者自身治疗的首选。

    【关键词】 后半规管良性阵发性位置性眩晕;改良的Epley耳石复位法;改良的Semont耳石复位法

    Self-treatment of benign paroxysmal positional vertigo

    CHU Xu-hua，XIA Huai-lin，WANG Bin-nong，et al.

    The First Affiliated Hospital of Nanjing Medical Universi- ty，Nanjing 210029，China

    【Abstract】 Objective To compare the efficacy of a self-applied modified Semont maneuver (MSM) with self-treatment with a modified Epley procedure (MEP) in patients with posteriou canal benign paroxysmal posi- tional vertigo. Methods 70 patients with PC-BPPV were treated respectively with MEP and MSM between July 2001 and June 2003，remission rate and treatment-related side effects were compared at the end of 1 week. Re- sults Remission rate was 95% in the MEP group (n=37) vs 58% in the MSM group (n=33; P<0.001 ). Treatment failure was related to incorrect performance of the maneuver in the MSM group ......