不同方法治疗在良性阵发性眩晕的研究  

Quality of life before and after treatment with different canalith repositioning maneuvers in patients with apogeotropic nystagmus associated with horizontal semicircular canal benign paroxysmal positional vertigo

作　　者：张国庆[1] 唐月英[1] 陈宇[1] 曾屹生[1] 许亚桦[1] 王丽云[1] 

机构地区：[1]福建中医药大学附属第二人民医院耳鼻咽喉科,福州350003

出　　处：《中华耳科学杂志》2015年第4期704-706,共3页Chinese Journal of Otology

摘　　要：目的探讨眩晕障碍量表(dizziness handicap inventory,DHI)对水平背地性眼震良性阵发性位置性眩晕(apo-geotropic nystagmus horizontal semicircular canal benign paroxysmal positional vertigo,apogeotropic HSC-BPPV)患者健康相关生活质量(quality of life,QOL)的评估意义。方法回顾性分析2014年3月至2015年5月期间确诊为apogeotropicHSC-BPPV的40例患者,采用汉化的英文版眩晕障碍量表,在治疗前和治疗后1个月进行QOL的调查和评估,比较采用不同耳石重置法的两组患者功能、情感、躯体三个方面的得分和总分。结果两组患者在治疗后的DHI各项分值和总分均明显低于治疗前,且差异有统计学意义(P<0.05);两组患者间比较,在治疗前和治疗后的DHI各项分值和总分均相当,差异无统计学意义(P>0.05);两组手法耳石复位全部成功。结论水平背地性眼震良性阵发性位置性眩晕患者,改良Nuti法和Gufoni法均能改善患者的QOL,汉化的英文版DHI在BPPV患者QOL评估中起着重要作用。Objective To study the value of the Dizziness Handicap Inventory （DHI） in evaluation of health-related quality of life （QOL） changes in patients with apogeotropic nystagmus associated with horizontal semicircular canal benign paroxysmal positional vertigo （apogeotropic HSC-BPPV）. Methods Forty patients with apogeotropic HSC-BPPV seen from March 2014 to May 2015 were evaluated using the DHI, before and after one month of treatment. Results The score of each DHI item was lower after one month of treatment than before treatment. Post-treatment DHI score changes were not significantly different when compared between the Gufoni maneuver and the modified Nuti maneuver. Conclusions Compared with the Gufoni maneuver, the authors-modified Nuti maneuver is similarly successful in improving the QOL. The DHI is a useful tool in evaluating QOL changes in patients with BPPV.

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：R441.21[医药卫生—诊断学]