摘要
目的探讨对良性阵发性位置性眩晕(BPPV)手法复位后残余症状患者采用倍他司汀结合前庭训练的临床价值。方法将2018年1月至2019年12月我院160例残余症状BPPV患者随机分为对照组79例与观察组81例,仅给予对照组常规前庭训练,观察组联用倍他司汀,均治疗2个月。对比两组治疗前后眩晕视觉模拟评分(VAS)、残余症状发生频率、眩晕障碍量表(DHI)评分及不良反应。结果治疗前两组DHI-躯体障碍(DHIP)、DHI-情绪障碍(DHIE)、DHI-功能障碍(DHIF)、DHI总分差异无统计学意义(t=0.228、0.054、0.193、0.267,P>0.05),治疗后观察组DHIP、DHIE、DHIF、DHI总分均低于对照组,差异有统计学意义(t=17.051、8.267、8.644、19.449,P<0.05);治疗前两组眩晕VAS评分差异无统计学意义(t=0.234,P>0.05),治疗后观察组眩晕VAS评分低于对照组(t=13.583,P<0.05);观察组走路不稳、漂浮感、昏沉、头晕发生频率低于对照组,差异有统计学意义(t=15.915、14.748、11.004、8.350,P<0.05);两组不良反应率差异无统计学意义(χ^(2)=0.231,P>0.05)。结论前庭训练联合倍他司汀治疗可有效减轻手法复位后残余症状的BPPV患者眩晕障碍程度,降低残余症状发生频率。
Objective To explore the clinical value of betahistine combined with vestibular training for residual symptoms of benign paroxysmal positional vertigo(BPPV)following manipulative reduction.Methods 160 BPPV patients with residual symptoms in our hospital from January 2018 to December 2019 were randomly divided into a control group(79 patients)and a study group(81 patients).The control group received routine vestibular training alone,whereas the study group received betahistine in addition to vestibular training for 2 months.Visual analogue scale(VAS),frequency of residual symptoms,scores on dizziness disorder scale(DHI),and adverse reactions were compared between the two groups before and after treatment.Results Before treatment,there were no significant differences between the two groups in the total scores on DHI physical disorder(DHIP),DHI emotional disorder(DHIE),DHI dysfunction(DHIF)and DHI(t=0.228,0.054,0.193 and 0.267;P>0.05).After treatment,the total scores on DHIP,DHIE,DHIF and DHI were lower in the study group than in the control group(t=17.051,8.267,8.644 and 19.449;P<0.05).Before treatment,there was no significant difference in the VAS score of vertigo between the two groups(t=0.234,P>0.05).After treatment,the VAS score of vertigo in the study group was lower than that in the control group(t=13.583,P<0.05).The frequency of walking instability,floating feeling,drowsiness,and dizziness was lower in the study group than in the control group(t=15.915,14.748,11.004 and 8.350;P<0.05);There was no significant difference in the rate of adverse reactions between the two groups(χ^(2)=0.231,P>0.05).Conclusions Vestibular training combined with betahistine can effectively reduce the degree of vertigo disorder and lower the frequency of residual symptoms in BPPV patients after manual reduction.
作者
谭惠荣
TAN Huirong(Department of Otolaryngology,the First Affiliated Hospital of Hainan Medical University,Haikou 570102,China)
出处
《实用医学杂志》
CAS
北大核心
2021年第17期2262-2265,共4页
The Journal of Practical Medicine
关键词
良性阵发性位置性眩晕
前庭训练
残余症状
倍他司汀
benign paroxysmal positional vertigo
vestibular training
residual symptoms
betahistine
