Brandt-Daroff习服训练联合黛力新治疗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 Combined with Deanxit 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 Hai-ling;LI Chao-wu;LI Feng-guang;FANG Huang;YAN Gang-li;MAO Gao-feng;CHENGYong;WEI Hai-yan(Department of Neurology,the 161th Hospital of PLA,Wuhan 430010,China)

机构地区：[1]解放军第161医院神经内科,武汉430010

出　　处：《神经损伤与功能重建》2018年第8期387-391,共5页Neural Injury and Functional Reconstruction

摘　　要：目的:观察Brandt-daroff习服训练联合黛力新治疗良性阵发性位置性眩晕(BPPV)管石复位后残余头晕的疗效。方法:BPPV成功管石复位后发生残余头晕的患者96例随机分为4组:对照组(常规内科治疗),训练组(Brandt-Daroff习服训练),药物组(黛力新治疗),联合组(Brandt-Daroff习服训练联合黛力新治疗),每组24例。治疗前后采用医院焦虑抑郁量表(HADS)、眩晕残障量表(DHI)、前庭症状指数(VSI)对患者进行评分比较。结果:治疗前各组HADS、VSI、DHI评分差异无统计学意义(P>0.05)。治疗7、14 d后,3组HADS、VSI、DHI评分均低于对照组(均P<0.05)。治疗7、14 d后,联合组HADS、VSI、DHI评分均低于训练组及药物组(均P<0.05)。治疗7 d后,药物组HADS评分低于训练组(P<0.05);治疗14 d后,训练组DHI评分低于药物组(P<0.05)。结论:Brandt-Daroff习服训练、黛力新均能减轻BPPV成功管石复位后残余头晕症状,联合治疗较单一治疗更有效。Objective： To observe the effect of Brandt-Daroff exercise combined with Deanxit on residual dizziness（RD） after successful canalith repositioning maneuvers（CRP） in patients with benign paroxysmal positional vertigo（BPPV）. Methods： Ninety-six patients with RD after successful CRP were divided into four groups at random with 24 patients per group： the control group（treated with routine medical therapy）, the exercise group（treated with Brandt-Daroff exercise）, the medication group（treated with Deanxit）, and the combination group（treated with Brandt-Daroff exercise combined with Deanxit）. Before and after treatment,hospital anxiety and depression scale（HADS）, dizziness handicap inventory（DHI）, and vestibular symptom index（VSI） were evaluated. Results： No significant difference existed in scores of HADS, VSI, and DHI between each group before treatment（P0.05）. Seven days and 14 days after treatment, HADS, VSI, and DHI scores in the control group were higher than those in the other 3 groups（P0.05）. In the combination group, the above scores were lower than those in the exercise group and medication group（P0.05）. Seven days after treatment, HADS score in the medication group was lower than that in the exercise group（P0.05）; 14 days after treatment, DHI score in the exercise group was lower than that in the medication group（P0.05）. Conclusion：Both Brandt-Daroff exercise and Deanxit could effectively ameliorate RD symptoms in BPPV patients with RD after successful CRP, and the treatment was more effective than single method treatment.

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 医院焦虑抑郁量表 

分 类 号：R741[医药卫生—神经病学与精神病学] R741.02[医药卫生—临床医学]