{"id":1413,"date":"2018-05-31T15:40:43","date_gmt":"2018-05-31T07:40:43","guid":{"rendered":"https:\/\/www.finddoc.com\/health\/?p=1413"},"modified":"2020-09-02T11:42:42","modified_gmt":"2020-09-02T03:42:42","slug":"%e8%b5%b7%e5%ba%8a%e7%b6%93%e5%b8%b8%e6%84%9f%e5%88%b0%e9%a0%ad%e6%9a%88%ef%bc%9f%e5%8f%af%e8%83%bd%e6%98%af%e3%80%8c%e8%80%b3%e7%9f%b3%e7%a7%bb%e4%bd%8d%e3%80%8d","status":"publish","type":"post","link":"https:\/\/www.finddoc.com\/health\/doctors-blog\/%e8%b5%b7%e5%ba%8a%e7%b6%93%e5%b8%b8%e6%84%9f%e5%88%b0%e9%a0%ad%e6%9a%88%ef%bc%9f%e5%8f%af%e8%83%bd%e6%98%af%e3%80%8c%e8%80%b3%e7%9f%b3%e7%a7%bb%e4%bd%8d%e3%80%8d\/","title":{"rendered":"\u8d77\u5e8a\u7d93\u5e38\u611f\u5230\u982d\u6688\uff1f \u53ef\u80fd\u662f\u300c\u8033\u77f3\u79fb\u4f4d\u300d"},"content":{"rendered":"

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\u64b0\u6587: \u8033\u9f3b\u5589\u79d1\u5c08\u79d1\u5289\u5b50\u69ae<\/a>\u91ab\u751f<\/span><\/p>\n

\u4e94\u5341\u4e8c\u6b72\u7684\u6797\u5973\u58eb\u4e00\u5411\u5065\u5eb7\u826f\u597d\uff0c\u4f46\u6700\u8fd1\u5169\u9031\u7d93\u5e38\u982d\u6688\uff0c\u7279\u5225\u662f\u7576\u5979\u8eba\u4e0b\u6216\u8d77\u5e8a\u7684\u6642\u5019\uff0c\u982d\u6688\u7684\u611f\u89ba\u5c24\u5176\u56b4\u91cd\uff0c\u751a\u81f3\u5c0e\u81f4\u5614\u5410\u3002\u7576\u5979\u5230\u8033\u9f3b\u5589\u79d1\u5c08\u79d1\u5289\u5b50\u69ae\u91ab\u751f\u6c42\u8a3a\u6642\uff0c\u60c5\u6cc1\u5df2\u7d93\u7a0d\u70ba\u597d\u8f49\uff0c\u4f46\u8d70\u8def\u6642\u4ecd\u611f\u5230\u6447\u6643\uff0c\u5c31\u50cf\u5728\u8239\u4e0a\u4e00\u6a23\u3002<\/span><\/p>\n

\u7d93\u6aa2\u67e5\u5f8c\uff0c\u5289\u91ab\u751f\u78ba\u5b9a\u5979\u60a3\u4e0a\u4e86\u826f\u6027\u9663\u767c\u6027\u4f4d\u7f6e\u6027\u6688\u7729 (benign paroxysmal)\uff0c\u4fd7\u7a31\u300c\u8033\u77f3\u79fb\u4f4d\u300d\u3002 \u7d93\u904e\u300c\u8033\u77f3\u5fa9\u4f4d\u6cbb\u7642\u300d(canalolith repositioning maneuver)\u5f8c\uff0c\u5979\u5df2\u518d\u6c92\u6709\u6688\u7729\u4e86\u3002<\/span><\/p>\n

\u6700\u5e38\u898b\u5f15\u81f4\u6688\u7729\u7684\u75c5\u56e0<\/strong><\/h2>\n
\"\u8033\u77f3\u79fb\u4f4d\"
\u5018\u82e5\u8033\u77f3\u812b\u843d\u9020\u6210\u8033\u77f3<\/span>\u79fb\u4f4d\uff0c\u6703\u5bb9\u6613\u5f15\u81f4\u6688\u7729<\/span><\/figcaption><\/figure>\n

\u5176\u5be6\uff0c\u300c\u8033\u77f3\u79fb\u4f4d\u300d\u4e26\u975e\u4e00\u7a2e\u7f55\u6709\u7684\u602a\u75c5\uff0c\u800c\u662f\u5f15\u81f4\u982d\u6688\u7684\u6700\u5e38\u898b\u75c5\u56e0\u3002\u64da\u4f30\u8a08\uff0c\u6700\u5c11\u6709\u56db\u5206\u4e4b\u4e00\u7684\u6688\u7729\u662f\u56e0\u300c\u8033\u77f3\u79fb\u4f4d\u300d\u800c\u5c0e\u81f4\u7684\u3002\u8033\u77f3(otolith)\u5176\u5be6\u662f\u5167\u8033\u5e73\u8861\u5668\u5b98\u4e2d\u5e6b\u52a9\u611f\u53d7\u59ff\u52e2\u6539\u8b8a\u7684\u78b3\u9178\u9223\u7d50\u6676\uff0c\u9ecf\u9644\u5728\u5167\u8033\u5e73\u8861\u5668\u5b98\u4e2d\u7684\u524d\u5ead\u5167\uff0c\u4e3b\u8981\u529f\u80fd\u662f\u8b93\u4eba\u9ad4\u611f\u61c9\u76f4\u7dda\u52a0\u901f\u5ea6\u3002<\/span><\/p>\n

\u7576\u8033\u77f3\u56e0\u70ba\u982d\u90e8\u649e\u64ca\u3001\u5167\u8033\u767c\u708e\u3001\u9000\u5316\uff0c\u6216\u5176\u4ed6\u4e0d\u660e\u539f\u56e0\u800c\u812b\u843d\uff0c\u79fb\u4f4d\u5230\u5167\u8033\u534a\u898f\u7ba1\u7684\u6dcb\u5df4\u6db2\u4e2d\u6642\uff0c\u4e00\u65e6\u982d\u90e8\u59ff\u52e2\u8b8a\u63db\uff0c\u8033\u77f3\u4fbf\u6703\u5728\u534a\u898f\u7ba1\u88e1\u79fb\u52d5\uff0c\u5f15\u767c\u6688\u7729\u3002<\/span><\/p>\n

\u300c\u8033\u77f3\u79fb\u4f4d\u300d\u7684\u60a3\u8005\u5927\u591a\u70ba\u4e2d\u5e74\u4ee5\u4e0a\u7684\u6210\u5e74\u4eba\uff0c\u5176\u4e2d\u4ee5\u5973\u6027\u5c45\u591a\u3002\u5178\u578b\u7684\u75c5\u767c\u6642\u9593\u591a\u662f\u65e9\u4e0a\u8d77\u5e8a\u3001\u665a\u4e0a\u8eba\u4e0b\u6216\u5728\u5e8a\u4e0a\u8f49\u8eab\u6642\uff0c\u56b4\u91cd\u8005\u9023\u8d70\u8def\u4e5f\u6703\u611f\u5230\u6688\u7729\uff0c\u751a\u81f3\u5614\u5410\u3002\u60a3\u8005\u6bcf\u6b21\u6688\u7729\u7684\u6642\u9593\u77ed\u66ab\uff0c\u591a\u4e0d\u6703\u8d85\u904e\u534a\u5206\u9418\uff0c\u53ea\u8981\u982d\u90e8\u56fa\u5b9a\uff0c\u8033\u77f3\u505c\u6b62\u79fb\u52d5\uff0c\u7729\u6688\u4e5f\u5c31\u66ab\u6642\u505c\u6b62\u3002\u4e00\u822c\u800c\u8a00\uff0c\u75c5\u60c5\u6703\u5728\u6578\u9031\u5230\u6578\u6708\u5167\u9010\u6f38\u6539\u5584\u3002\u5927\u7d04\u6709\u4e09\u6210\u7684\u75c5\u4eba\u6703\u5728\u6578\u6708\u81f3\u6578\u5e74\u5f8c\u5fa9\u767c\u3002<\/span><\/p>\n

\u5229\u7528\u91cd\u529b\u5c07\u8033\u77f3\u5fa9\u4f4d<\/strong><\/h2>\n
\"\u8033\u77f3\u79fb\u4f4d\"
\u900f\u904e\u8033\u77f3\u5fa9\u4f4d\u8853\uff0c\u7d13\u7de9\u6688\u7729\u72c0\u6cc1<\/span><\/figcaption><\/figure>\n

\u9664\u4e86\u300c\u8033\u77f3\u79fb\u4f4d\u300d\uff0c\u5176\u4ed6\u5f15\u81f4\u982d\u6688\u7684\u75c5\u56e0\u5305\u62ec<\/span>\u75c5\u6bd2\u6027\u5e73\u8861\u795e\u7d93\u708e<\/span>\u3001<\/span>\u6885\u5c3c\u723e\u6c0f\u75c7<\/span>(Meniere\u2019s disease)\u3001\u5167\u8033\u708e\u3001\u8166\u8840\u7ba1\u75c5\u3001\u8166\u7624\u7b49\u3002\u8981\u4f5c\u51fa\u6b63\u78ba\u8a3a\u65b7\uff0c\u91ab\u751f\u9700\u8981\u8a73\u7d30\u66b8\u89e3\u75c5\u767c\u7684\u60c5\u51b5\uff0c\u4f8b\u5982\u6688\u7729\u662f\u6301\u7e8c\u7684\u9084\u662f\u9593\u65b7\u7684\u3001\u807d\u89ba\u6709\u5426\u53d7\u5f71\u97ff\u3001\u56db\u80a2\u6709\u5426\u7121\u529b\u6216\u9ebb\u75fa\u7b49\u3002\u5982\u679c\u61f7\u7591\u662f\u300c\u8033\u77f3\u79fb\u4f4d\u300d\uff0c\u91ab\u751f\u6703\u66ff\u75c5\u4eba\u9032\u884c\u59ff\u52e2\u8b8a\u63db\u6aa2\u67e5(Dix-Hallpike test) \u4f86\u78ba\u8a3a\u3002<\/span><\/p>\n

\u6cbb\u7642\u65b9\u9762\uff0c\u85e5\u7269\u7684\u529f\u6548\u4e26\u4e0d\u7406\u60f3\u3002\u6700\u6709\u6548\u7684\u65b9\u6cd5\uff0c\u662f\u4ee5\u300c\u8033\u77f3\u5fa9\u4f4d\u8853\u300d\uff0c\u85c9\u8457\u8eab\u9ad4\u982d\u90e8\u59ff\u52e2\u4e4b\u6539\u8b8a\u548c\u91cd\u529b\u7684\u4f5c\u7528\uff0c\u4f7f\u812b\u843d\u4e4b\u8033\u77f3\u5f9e\u534a\u898f\u7ba1\u91cd\u65b0\u6b78\u4f4d\u5230\u5167\u8033\u524d\u5ead\u4e4b\u6a62\u5713\u56ca\u5167\u3002\u8033\u77f3\u5fa9\u4f4d\u8853\u7684\u6210\u529f\u7387\u7d04\u70ba80%\uff0c\u82e5\u4e00\u6b21\u6cbb\u7642\u672a\u80fd\u5b8c\u5168\u6cbb\u6108\uff0c\u53ef\u91cd\u8907\u65bd\u884c\u3002<\/span><\/p>\n

\u5728\u8033\u77f3\u5fa9\u4f4d\u5f8c\uff0c\u982d\u90e8\u52d5\u4f5c\u4e0d\u53ef\u4ee5\u592a\u5927\uff0c\u4e5f\u61c9\u76e1\u91cf\u907f\u514d\u5287\u70c8\u904b\u52d5\u3002\u665a\u4e0a\u7761\u89ba\u6642\uff0c\u6795\u982d\u53ef\u4ee5\u588a\u9ad8\u4e00\u4e9b\uff0c\u4e26\u4e14\u907f\u514d\u8eba\u5411\u60a3\u5074\u3002\u75c5\u8005\u5728\u5b8c\u5168\u5eb7\u5fa9\u4e4b\u524d\uff0c\u4ea6\u76e1\u91cf\u4e0d\u8981\u99d5\u8eca\u6216\u7ad9\u5728\u9ad8\u8655\u62ac\u982d\u62ff\u6771\u897f\uff0c\u4ee5\u514d\u767c\u751f\u610f\u5916\u3002<\/span><\/p>\n

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