前庭康复训练在持续性良性阵发性位置性眩晕中的效果研究  

The treatment research of vestibular rehabilitation training in patients with persistent benign paroxysmal positional vertigo

作　　者：张晓东[1] 李忠华[1] 林伟年[1] 廖军[1] 林雯[1] 粘忠柱[1] 林金超[1] Zhang Xiaodong Li Zhonghua Lin Weinian et al(The Quanzhou First Hospital Affiliated to Fujian Medical Univercity, Quanzhou , Fujian 36200)

机构地区：[1]福建医科大学附属泉州第一医院,福建泉州362000

出　　处：《基层医学论坛》2017年第10期1157-1158,共2页The Medical Forum

基　　金：2015年泉州市卫生计生科研资助项目

摘　　要：目的探讨前庭康复训练在持续性良性阵发性位置性眩晕(BPPV)中的应用效果。方法将89例患者随机分为手法复位治疗组和前庭康复治疗组,随访6个月,比较其近期治疗效果和复发情况。结果手法复位治疗组和前庭康复治疗组的治愈率分别为71.11%和70.45%,差异无统计学意义(P>0.05);6个月后复发率手法复位治疗组为33.33%,前庭康复治疗组为11.36%,差异有统计学意义(P<0.05)。结论前庭康复训练对于持续性BPPV具有良好的治疗效果,并且对预防眩晕复发具有较大的治疗价值。Objective To research the treatment of vestibular rehabilitation training in patients with persistent benign paroxysmal positional ／vertigo.Methods 89 patients were randomly divided into canalith repositioning therapy group and vestibular rehabilitation training group.The two groups all were followed up after 6 months,and the therapeutic effect and recurrence was evaluated.Resnits Of 45 patients treated by canalith repositioning therapy, 32 （71.11% ）reported no symptoms of vertigo, while 31 （70.45%）of patients were symptom free in vestibular rehabilitation training group. There was not a statistically significant difference between the groups （P〉0.05）.Recurrence symptoms was demonstrated in 15 （33.33%）patients of canalith repositioning therapy group and 5 （ 11.36%）patients of vestibular rehabilitation training group during the follow up period.There was a statistically significant difference between the two groups （P〈0.05）.Conclusion Vestibular rehabilitation training for persistent BPPV has good treatment effect, and has great therapeutic value in the prevention of recurrence of vertigo.

关 键 词：位置性眩晕 良性 阵发性 持续性 前庭康复训练 

分 类 号：R764[医药卫生—耳鼻咽喉科]