眩晕障碍量表在BPPV患者生活质量评估中的应用  

The Application of DHI Scale to Evaluation of Quality of Life in Patients with Benign Paroxysmal Positional Vertigo

作　　者：修世国[1] 邢东升[1] 胡玮[1] 樊新[1] 张雪[1] 李东洙[1] 

机构地区：[1]延边大学附属医院耳鼻咽喉科,延边133000

出　　处：《听力学及言语疾病杂志》2014年第1期48-52,共5页Journal of Audiology and Speech Pathology

摘　　要：目的探讨眩晕障碍量表(dizziness handicap inventory,DHI)对良性阵发性位置性眩晕(BPPV)患者健康相关生活质量(quality of life,QOL)评估的意义。方法采用汉化的英文版DHI分别对120例施行管石复位法(canalith repositioning procedure,CRP)治疗的BPPV患者(治疗组)治疗前及治疗后3个月和60名健康体检者(对照组)进行评估,比较两组患者功能、情感、躯体三个方面的得分及总分。结果治疗组治疗前功能、情感、躯体评分分别为22.60±6.54、18.50±8.28、17.90±5.0分,总分为59.00±14.32分,对照组功能、情感、躯体分别为1.35±1.74、1.00±1.01、1.37±1.86分,总分为3.72±3.46分,治疗前治疗组DHI各项目得分均高于对照组(均P<0.05)。治疗后3个月治疗组功能、情感、躯体评分分别为1.10±1.42、1.50±1.70、1.45±1.46分,总分为4.05±3.66分,均较治疗前分值降低(均为P<0.05),与对照组比较差异无统计学意义(均为P>0.05)。结论 CRP治疗BPPV有效,汉化DHI量表能够应用于BPPV患者QOL的评估。Objective This paper attempts to explore the application of dizziness handicap inventory （DHI） in evaluation of health-related quality of life （QOL） changes of patients with benign paroxysmal positional vertigo （BPPV） before and after the treatment with canalith repositioning procedure （CRP）. Methods The DHI was em-ployed to investigate and evaluate the dizziness handicap of 120 patients with BPPV before and after 3 months of CRP treatment （treatment group） and 60 healthy controls （control group）, while the DHI scoring results were com-pared. Results As indicated by DHI evaluation, the scoring of each DHI items of patients with BPPV before treatment was higher than that of control group, treatment group before treatment：functional score 22.60 ± 6.54, emotional score 18.50±8.28, physical score 17.90±5.05, total composite score 59.00±14.32. For the control group： functional score 1.35-F 1.74, emotional score 1.00±1.01, physical score 1.37± 1.86, total composite score 3.72± 3.46, with the differ- ence statistically significant （P〈0.05）. The DHI scoring of treatment group of patients with BPPV after 3 months of CRP treatment was lower than that before the treatment（treatment group after 3 months CRP tieatment~ functional score 1.10 ±1.42, emotional score 1.50±1.70, physical score 1.45±1.46, total composite score 4.05±3.66） ,and the difference was statistically significant （P〈0.05）. There was no statistically significant difference comparing to the control group （P〉0.05）. Conclusion CRP is effective to treat BPPV. The DHI is available for the evaluation of QOL of BPPV patients.

关 键 词：良性阵发性位置性眩晕 管石复位法 生活质量 眩晕障碍量表 

分 类 号：R764.34[医药卫生—耳鼻咽喉科]