SRM-IV前庭功能诊疗系统在良性阵发性位置性眩晕中的应用体会

目的 评估SRM-IV前庭功能诊疗系统在良性阵发性位置性眩晕（BPPV）中的应用。方法 对我院2015年11月~2016年5月期间应用SRM-IV前庭功能诊疗系统确诊为BPPV的患者进行数据分析。结果 确诊为BPPV的104例患者中，后半规管BPPV 63例（60.6%），水平半规管BPPV 38例（36.5%），混合型BPPV 3例（2.9%），其中左侧半规管BPPV 32例，右侧半规管BPPV 69例，右侧BPPV是左侧的2.16倍。104例患者中，痊愈103例，有效1例，总有效率100%。结论 SRM-IV前庭功能诊疗系统通过360度全方位复位治疗，能精准的查出耳石位置，克服了手法复位中不能耐受的缺点，疗效显著，安全性高，值得临床积极推广。

Experience in application of SRM-IV vestibular function diagnosis and treatment system in benign paroxysmal positional vertigo

Objective To investigate the application of SRM-IV vestibular function diagnosis and treatment system in benign paroxysmal positional vertigo (BPPV).Methods A data analysis was performed for the patients who were diagnosed with BPPV by the SRM-IV vestibular function diagnosis and treatment system in our hospital from November 2015 to May 2016.Results Among the 104 BPPV patients, 63 (60.6%) had posterior semicircular BPPV, 38 (36.5%) had horizontal semicircular BPPV, and 3 (2.9%) had mixed-type BPPV. There were 32 patients with left semicircular BPPV and 69 with right semicircular BPPV, and the number of patients with right semicircular BPPV was 2.16 times that of patients with left semicircular BPPV. Of all patients, 103 were cured and 1 was improved, and the overall response rate was 100%.Conclusions With the help of 360° repositioning procedure, the SRM-IV vestibular function diagnosis and treatment system can precisely identify the location of canalith and overcome the intolerability of manual repositioning. It has a significant clinical effect and high safety and holds promise for clinical application.