水平半规管良性阵发性位置性眩晕的个体化康复治疗  

Individualized Rehabilitation Treatment Improves Effect on Horizontal Semicircular Canal Benign Paroxysmal Position Vertigo

作　　者：李舜[1] 宋成宪[1] 王艳[1] 李太良 

机构地区：[1]广州医科大学附属第三医院,广东广州510150

出　　处：《按摩与康复医学》2017年第23期17-19,共3页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的:观察个体化手法复位、物理因子治疗及前庭康复锻炼对水平半规管良性阵发性位置性眩晕(HC-BPPV)患者的康复效果。方法:将92例HC-BPPV患者随机分为研究组和对照组各46例,对照组采用Ba rbecue翻滚复位法治疗,研究组则依据眼震特征采用个体化的手法复位结合物理因子治疗及前庭康复锻炼,观察两组临床疗效。结果:研究组治疗1周及1个月后总有效率均显著高于对照组(P<0.05);研究组激惹症状、残余症状持续时间均显著短于对照组(P<0.05)。结论:个体化手法复位联合物理因子及前庭康复锻炼治疗水平半规管良性阵发性位置性眩晕疗效显著,可使激惹症状和残余症状持续时间显著缩短,值得临床推广应用。Objoctive： To observe the rehabilitation effect of individualized repositioning, physical factors and vestibular rehabilitation exercise on horizontal semicircular canal benign paroxysmal position vertigo （HC-BPPV）. Methods： 92 cases of HC-BPPV patients were randomly divided into study group （46 cases） and control group （46 cases）, the control group treated with Barbecue rollover reduction, while study group with individual- ized repositioning combined with physical factors and vestibular rehabilitation exercise according to nystagmus characteristics, observed the efficacy of the two groups. Results： After 1 week and lmonth, the overall response rates of study group were significantly higher than those of control group （P〈0.05）; durations of irritation symptoms and residual symptoms were significantly shorter than those of control group （P〈0.05）. Conclusion： The treatment of individualized repositioning combined with physical factors and vestibular rehabilitation exercise has a significant curative effect on HC-BPPV, which can effectively shorten the durations of irritation and residual symptoms, and deserves clinical promotion and application.

关 键 词：水平半规管 良性阵发性位置性眩晕 物理因子 手法复位 前庭康复锻炼 激惹症状 残余症状 个体化 康复治疗 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]