摘要
目的探究在继发性良性阵发性位置性眩晕(BPPV)患者中采取耳石复位联合药物治疗的应用价值。方法 120例BPPV患者,按照治疗方式不同分为研究组与对照组,各60例。研究组予以耳石复位联合药物治疗,对照组予以单纯耳石复位治疗。对比两组临床疗效、生活质量、不良反应发生率。结果研究组临床总有效率为90.0%(54/60),高于对照组的63.3%(38/60),差异有统计学意义(P<0.05)。研究组躯体、情绪、功能评分和头晕残障(DHI)总分分别为(10.93±4.46)、(13.50±5.68)、(12.40±4.20)、(36.83±13.17)分,均低于对照组的(15.43±4.59)、(19.23±4.36)、(18.07±4.07)、(53.02±12.42)分,差异有统计学意义(P<0.05)。研究组不良反应发生率为3.3%,低于对照组的15.0%,差异有统计学意义(P<0.05)。结论对继发性BPPV患者采用耳石复位联合药物治疗能明显提升患者临床疗效,并且对患者生活质量有明显改善,临床应用效果显著,值得在临床上推广。
Objective To investigate the practical value of canalith repositioning maneuvers combined with drug therapy in patients with secondary benign paroxysmal positional vertigo(BPPV). Methods A total of 120 BPPV patients were divided into research group and control group according to different treatment methods, with 60 cases in each group. The research group received canalith repositioning maneuvers combined with drug therapy, and the control group received canalith repositioning maneuvers only. The clinical efficacy, quality of life and incidence of adverse reactions were compared between the two groups. Results The total clinical effective rate of the research group was 90.0%(54/60), which was higher than 63.3%(38/60) of the control group, and the difference was statistically significant(P<0.05). The physical, emotional, functional score, and dizziness handicap inventory(DHI) total scores of the research group were(10.93±4.46),(13.50±5.68),(12.40±4.20),(36.83±13.17) points, which were lower than(15.43±4.59),(19.23±4.36),(18.07±4.07),(53.02±12.42) points of the control group, and the difference was statistically significant(P<0.05). The incidence of adverse reactions of the research group was 3.3%, which was lower than 15.0% of the control group, and the difference was statistically significant(P<0.05). Conclusion Canalith repositioning maneuvers combined with drug therapy can obviously improve the clinical efficacy of patients with secondary benign paroxysmal positional vertigo, and improve the quality of life of patients. It is worthy of clinical promotion.
作者
徐利
李莹莹
丁剑
胡杨林
XU Li;LI Ying-ying;DING Jian(Taishan Sanatorium(Shandong Taishan Hospital),Taian 271000,China)
出处
《中国实用医药》
2020年第32期13-15,共3页
China Practical Medicine
基金
吴阶平医学基金会临床科研专项资助基金课题(项目编号:320.6750.18328)。
关键词
继发性良性阵发性位置性眩晕
耳石复位
药物治疗
Secondary benign paroxysmal positional vertigo
Canalith repositioning maneuvers
Drug therapy
