耳石症手法复位治疗技术---让你五分钟告别眩晕

耳石症又称为良性阵发性位置性眩晕，是指头部迅速运动至某一特定头位时出现的短暂阵发性发作的眩晕和眼震。正常情况下耳石是附着于耳石膜上的，当一些致病因素导致耳石脱离，这些脱落的耳石就会在内耳内被称作为内淋巴的液体里游动，当人体头位变化时，这些半规管亦随之发生位置变化，沉伏的耳石就会随着液体的流动而运动，从而刺激半规管毛细胞，导致机体发生强烈性眩晕，时间一般较短，数秒至数分钟，可周期性加重或缓解。病程时间长短不一。

It is also called benign paroxysmal positional vertigo.It is a brief paroxysmal attack of vertigo and nystagmus when the finger moves rapidly to a specific head position.Under normal circumstances the otoliths are attached to the otolith membrane,when some pathogenic factors lead to the shedding of otolith from otolith,will be referred to in the inner ear as endolymphatic fluid swimming,when human head position changes,the canal also happened to change the position of V will sink,with the flow of the liquid and otolith movement thus,stimulation of semicircular canal hair cells,cause the occurrence of strong vertigo,time is short,a few seconds to a few minutes,but the cyclical increase or alleviate.The course of varying lengths of time.

复位方法快速沿半规管平面翻转病人身体，使耳石在惯性作用下沿半规管移动出来，回到椭圆囊，达到治愈的目的。该方法操作实施简单、容易掌握，在国内外专业期刊上发表后得到了同行的认可。多数患者经过一次复位治疗即可治愈。值得注意的是，由于复位手法快速，因此，对有严重心功能不全或体质极度虚弱的患者不提倡应用该方法。

The reduction method quickly overturned the patients body along the semicircular canal plane,so that the otolith moves along the semicircular canal under the inertia effect,and goes back to the ellipsoid to achieve the goal of cure.The method is easy to operate and easy to master.It has been recognized by colleagues after being published in professional journals at home and abroad.Most patients can be cured after a reduction treatment.It is worth noting that due to the rapid reduction technique,the method is not recommended for patients with severe cardiac insufficiency or extremely weak constitution.

后半规管耳石症快速手法复位方法：让病人平卧，头后仰，头偏向右侧时出现眩晕可判断为右侧后半规管耳石症。复位方法如下：①患者右侧卧位，蜷腿屈膝。②待眩晕缓解后，操作者双手扶在患者头部两侧，患者的双手抓紧操作者的左前臂。以患者右臀部为轴点，迅速将患者翻转180度至左侧卧位，保持该位置状态约5分钟。

Rapid manipulative reduction of the posterior semicircular canal otolith:the patient is supine,the head is back,and the head is tilted to the right.Vertigo can be judged to be the right posterior semicircular canal otolith.The method of reduction is as follows:1.The patient has a right lateral position and curls on his knees.After the dizziness was alleviated,the operator hands on both sides of the patients head,the patients hands grasp the operators left forearm.Take the patients right hip as the pivot point,quickly turn the patient 180 degrees to the left side,and keep the position for about 5 minutes.

上半规管耳石症快速手法复位方法：平卧头后仰出现眩晕者可判断为上半规管耳石症。上半规管耳石症的操作步骤：①患者平卧于平板床上，头部与一端床头平齐，两腿自然分开垂于治疗床两侧，注意床不要太宽。②操作者站于患者左侧，右手扶在患者的枕部，左手扶于额部，以臀部为轴点，让患者快速坐起。

Rapid manipulative reduction of the upper semicircular canal otolith:the upper semicircular canal otolith can be judged by the vertigo in the back of the supine head.The operation steps of the upper semicircular canal otolith:one patient is lying on the flat bed,the head is flush with one end of the bed,the legs are naturally separated from the two sides of the treatment bed,and the bed should not be too wide.The operator stands on the left side of the patient,the right hand on the patients pillow,the left hand on the forehead,and the hip as the pivot point,so that the patient can quickly sit up.

外半规管耳石症快速手法复位：患者平卧，向左侧侧卧时出现眩晕症状时，则为左侧外半规管耳石症，右侧亦然。以右外半规管耳石症为例，操作步骤如下：①患者右侧卧位于一张宽床上。②待眩晕缓解后，操作者站于患者背后，用右手拉患者右手，迅速翻滚于左侧卧位，保持该位置状态5分钟左右。The external semicircular canal otolith disease rapid manipulative reduction:the patient supine,to the left side lying when the vertigo symptoms,the left lateral semicircular canal otolith disease,the right side is also the same.Take the right lateral semicircular canal otolith as an example,the operation steps are as follows:1.The right side of the patient lies on a wide bed.2 After the dizziness was relieved,the operator stood behind the patient,pulled the patients right hand with the right hand,and quickly tumbled to the left lateral position,keeping the position for about 5 minutes.

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