Brandt-Daroff习服训练对良性阵发性位置性眩晕管石复位后残余头晕的疗效  

Effect of Brandt-Daroff exercise on residual dizziness after successful canalith repositioning maneuvers in patients with benign paroxysmal positional vertigo

作　　者：聂海岭[1] 李朝武[1] 黎逢光[1] 方煌[1] 严钢莉[1] 毛高峰[1] 成勇[1] 魏海燕 NIE Hailing, LI Chaowu,LI Fengguang, FANG Huang,YAN Gangli, MAO Gaofeng, CHENG Yong,WEI Haiyan(Department of Neurology, the 161th Hospital of PLA, Wuhan 430010, Chin)

机构地区：[1]解放军第161医院神经内科,湖北武汉430010

出　　处：《现代医学》2018年第5期533-536,共4页Modern Medical Journal

摘　　要：目的:观察Brandt-Daroff习服训练对良性阵发性位置性眩晕(BPPV)成功复位后残余头晕及生活质量的影响。方法:将48例BPPV成功手法复位后发生残余头晕的患者随机分为常规内科治疗组(对照组)和Brandt-Daroff习服训练组(治疗组),治疗前后评估眩晕残障量表(DHI)、前庭症状指数(VSI)。结果:治疗前两组基线资料、DHI总分及各子项评分、VSI评分差异均无统计学意义(P>0.05)。治疗后第7天和第14天,治疗组DHI总分及各子项评分均低于对照组,差异有统计学意义(P<0.05);治疗组VSI低于对照组,差异有统计学意义(P<0.05)。结论:Brandt-Daroff习服训练有助于减轻BPPV成功复位后残余头晕症状,改善患者的生活质量,可作为BPPV复位后残余头晕的辅助治疗。Objective： To observe the effect of Brandt-Daroff exercise on residual dizziness（ RD） and quality of life（ QOL） after successful canalith repositioning maneuvers（ CRPs） in patients with benign paroxysmal positional vertigo（ BPPV）. Methods： Forty-eight patients with RD after successful CRPs were divided into two groups,control group treated with routine medical therapy and treatment group with Brandt-Daroff execise. Before and after treatment,dizziness handicap inventory（ DHI） and vestibular symptom index（ VSI） were evaluated. Results： No significant difference existed in baseline information,scores DHI and DHI items and VSI in each group before treatment（ P〈0. 05）. Seven days and fourteen days after treatment,scores DHI and DHI items and VSI in treatment group were lower than those of control group（ P〈0. 05）. Conclusion： Brandt-Daroff execise could effectively ameliorate RD symptom and improve QOL in BPPV patients with RD after successful CRPs,and could be a adjunctive therapy.

关 键 词：良性阵发性位置性眩晕 管石复位术 残余头晕 Brandt-Daroff习服训练 眩晕残障量表 前庭症状指数 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]