摘要
目的:评价手法复位配合药物治疗在老年良性位置性眩晕中的治疗效果。方法:选择2014年1月-2015年8月本科门诊年龄≥60岁的BPPV患者86例,随机分为单纯手法组和手法+药物组,每组各43例。单纯手法组仅使用手法复位,手法+药物组使用手法复位加口服甲磺酸倍他司汀1周,1周后评价治疗效果。结果:单纯手法组总有效率为90.70%,手法+药物组总有效率为93.02%,差异无统计学意义(P>0.05)。治疗前两组VAS评分比较差异无统计学意义(P>0.05),治疗后两组评分均大幅提高,其中单纯手法组为(8.38±1.89)分,手法+药物组为(9.23±1.10),两组间比较差异有统计学意义(P<0.05)。结论:正确的诊断和手法复位是BPPV最有效的治疗方法,合理加用药物治疗可以有效地改善老年BPPV患者复位后的主观不适感,促进患者的康复。
Objective： To evaluate maneuvers with medication therapy in the treatment for elderly patients with benign paroxysmal positional vertigo （ BPPV ） . Method： A total of 86 patients with BPPV and ≥ 60 years of age from January 2014 to August 2015 were selected. They were divided into two groups randomly, group A and group B. There were 43 patients in each group. Group A used maneuvers only. Group B used maneuvers with Betahistine mesylate. The therapeutic effect was evaluated a week later. Result： Total efficiency of group A was 90.70%, and group B was 93.02%. There was not statistically significant between two groups in total efficiency （P〉0.05 ） . VAS score of each group before treatment had no statistically significant （P〉0.051） . But after treatment VAS score of each group were （ 8.38 ± 1.89 ） vs （ 9.23 ± 1.10 ）, with a substantial increase than before. There was statistically significant between two groups in VAS score after treatment （ P〈0.05 ） . Conclusion： Correct diagnosis and maneuvers were the most effective treatment for BPPV. Maneuvers with proper medication can improve the subjective discomfort in elderly patients with BPPV.
出处
《中国医学创新》
CAS
2015年第36期126-129,共4页
Medical Innovation of China
基金
云南省卫生内设研究机构科技计划项目资助(2012ws0025)
关键词
良性阵发性位置性眩晕
手法复位
药物
Benign paroxysmal positional vertigo
Maneuvers
Medication
