眩晕残障程度评定量表在良性阵发性位置性眩晕患者中的应用  

Application of dizziness handicap inventory in evaluation of benign paroxysmal positional vertigo

作　　者：王崇[1] 王建明[1] 杨威[1] 宋磊[1] 陈武[1] 

机构地区：[1]南通大学附属建湖医院神经内科,江苏省盐城224700

出　　处：《中华全科医师杂志》2016年第7期550-552,共3页Chinese Journal of General Practitioners

摘　　要：观察2014年1月至2015年6月经我院神经内科诊治的非典型良性阵发性位置性眩晕（BPPV）患者（非典型BPPV组）和典型BPPV患者（典型BPPV组）各30例,手法复位前后采用眩晕残障程度评定量表（DHI）评分.手法复位方法根据半规管受累类型选择.两组受累侧壁、性别、年龄、继发因素差异均无统计学意义（均P＞0.05）.两组患者复位前DHI子量表总分值高于复位后[（11.8±2.8）与（2.5±1.8）分],差异有统计学意义（t=21.31,P＜0.05）.复位后典型BPPV和非典型BPPV组DHI子量表总分值[（2.5±2.1）、（2.5±1.6）分]较复位前[（11.9±3.0）、（11.6±2.6）分]变小,其中各项（P1、F5、P11、P13、P25）分值（平均秩次值）小于复位前（典型BPPV组：21.30与39.70,19.55与41.45,19.00与42.00,18.65与42.35,15.90与45.10;非典型BPPV组：20.93与40.07,18.07与42.93,19.77与41.23,18.57与42.43,16.47与44.53）,差异均有统计学意义（均P＜0.05）.手法复位对非典型性BPPV患者同样有治疗作用,DHI子量表可作为BPPV量化指标评估BPPV患者病情.Thirty patients with objective benign paroxysmal positional vertigo （BPPV） （objective group） and 30 patients with subjective BPPV （subjective group） visiting Department of Neurology from January 2014 to June 2015 were enrolled in the study.There were no significant differences in semicircular canal,gender,age,related factors of secondary onset （P ＞ 0.05）.Patients were evaluated with dizziness handicap inventory （DHI） before and after the maneuver therapy.The average DHI subscale scores before treatment of all patients were higher than those after treatment （11.8 ± 2.8 vs.2.5 ± 1.8,P ＜ 0.05）;there was 11.9 ± 3.0 vs.2.5 ± 2.1 （P ＜ 0.05） for objective group and 11.6 ± 2.6 vs.2.5 ± 1.6 （P ＜ 0.05） for subjective group.The scores of PI,F5,P11,P13,P25 （mean rank order value） after treatment were decreased compared to corresponding initial scores in two groups（objective group：21.30 vs.39.70,19.55 vs.41.45,19.00 vs.42.00,18.65 vs.42.35,15.90 vs.45.10,respectively,subjective group：20.93 vs.40.07,18.07 vs.42.93,19.77 vs.41.23,18.57 vs.42.43,16.47 vs.44.53,respectively;all P ＜ 0.05）.The results indicate that maneuver therapy is effective both for objective and subjective BPPV patients;and subscale of DHI can be used to evaluate the degree of illness in patients with BPPV.

关 键 词：眩晕 半规管 

分 类 号：R764[医药卫生—耳鼻咽喉科]