摘要
目的探讨手法复位(CRP)治疗良性阵发性位置性眩晕(BPPV)的效果以及患者治疗前后生活质量的改善情况。方法选取2014年7月~2016年6月在我院诊治的75位BPPV患者作为研究对象,进行CRP治疗并评价治疗后1、3个月的效果,分析复位前及复位后3个月的中文版的眩晕障碍量表(DHI)及UCLA眩晕调查问卷(UCLA-DQ)评分。结果首次CRP后1个月的总有效率为90.67%,首次CRP后3个月的总有效率为89.33%,两者比较差异无统计学意义(P>0.05)。CRP前及首次CRP后3个月的DHI评分及UCLA-DQ评分比较,差异有统计学意义(P<0.05)。评价为治愈的52例患者中,有13.46%的患者仍反复出现眩晕。结论 CRP治疗BPPV效果显著,患者治愈率高,生活质量改善明显,但是部分治愈患者仍然残留眩晕需要进一步处理。
Objective To explore the effect of canalith repositioning procedure （CRP） in treating benign paroxysmal po- sitional vertigo （BPPV） and the improvement of life quality before and after CRP.Methods 75 BPPV patients from July 2014 to June 2016 were selected and treated with CRP and the effect was evaluated after treatment for 1 month and 3 months.The score of dizziness handicap inventory （DHI） and University of California at Los Angeles dizziness question- naire （UCLA-DQ） in Chinese version were filled out and analyzed before treatment and after treatment for 3 months.Re- sults 1 month after first CRP,the total effective rate was 90.67%,3 months after first CRP,the total effective rate was 89.33%,and there was no significant difference （P〉0.05）.Before CRP and 3 months after first CRP,both of DHI score and UCLA-DQ score had statistical significance （P〈0.05）.Among 52 patients who evaluated as cured,there were 13.46% patients who still had recurrent vertigo.Conclusion CRP in treating BPPV has obvious effect,with high cure rate and obvious improve life quality,but some patients still need further treatment to cure the vertigo.
作者
王振英
陈国锋
李灶容
胡永成
WANG Zhen-ying CHEN Guo-feng LI Zao-rong HU Yong-cheng(Department of Ear-Nose-Throat,People＇s Hospital of Yunfu City in Guangdong Province,Yunfu 527300,Chin)
出处
《中国当代医药》
2017年第2期95-97,共3页
China Modern Medicine
基金
广东省云浮市科技计划(医药卫生)项目(WS1415)
关键词
良性阵发性位置性眩晕
生活质量
手法复位治疗
Benign paroxysmal positional vertigo
Quality of life
Canalith repositioning procedure
