半夏白术天麻汤加减配合改良耳石重置法对BPPV患者生活质量的研究  

Study on the life-quality of BPPV patients with the modified aural calculus resetting method combine oral taking Banxia Baishu Tianma Decoction

作　　者：陈宇[1] 张国庆[1] 许亚桦[1] 曾屹生[1] Chen Yu;Zhang Guoqing;Xu Yahua;Zeng Yisheng(Department of Otolaryngology,Second People＇s Hospital Affiliated to Fujian University of Traditional Chinese Medicine.Huzhou,Hujian,35000)

机构地区：[1]福建中医药大学附属第二人民医院耳鼻咽喉科,福建福州350003

出　　处：《中医眼耳鼻喉杂志》2018年第2期72-74,共3页Journal of Chinese Ophthalmology and Otorhinolaryngology

摘　　要：目的 应用眩晕障碍量表（dizziness handicap inventory,DHI）对水平背地性眼震良性阵发性位置性眩晕（apogeotropic nystagmus horizontal semicircular canal benign paroxysmal positional vertigo,apogeotropic HSC-BPPV）患者健康相关生活质量（quality of life,QOL）进行评价；研究半夏白术天麻汤加减配合改良耳石重置法对apogeotropic HSC-BPPV患者生活质量的影响。 方法 回顾性分析2015年7月至2017年5月期间确诊为apogeotropic HSC-BPPV的60例患者，采用中文版眩晕障碍量表，在治疗前和治疗后1个月进行QOL的调查和评估，比较采用口服半夏白术天麻汤加减配合改良Nuti法与Gufoni法两组患者功能、情感、躯体三个方面的得分和总分。 结果 两组患者在治疗后的DHI各项分值和总分均明显低于治疗前，差异有统计学意义（ P ＜0.05）；两组患者间比较，中药加改良Nuti法手法组在治疗后的DHI各项分值和总分低于单纯手法组，差异有统计学意义（ P ＜0.05）。 结论 水平背地性眼震良性阵发性位置性眩晕患者，应用半夏白术天麻汤加减配合改良手法复位较单纯手法复位更能改善患者的QOL，值得推广；中文版DHI在BPPV患者QOL评估中起着重要作用。Objective Application of vertigo disorder scale （dizziness handicap inventory,DHI） for horizontal nystagmus and secretly BPP （apogeotropic nystagmus horizontal semicircular canal benign paroxysmal positional vertigo,apogeotropic HSC-BPPV）,The quality of life （QOL） of patients with apogeotropic HSC-BPPV was evaluated.To study the effect of the modified aural calculus resetting method combined oral taking Banxia Baishu Tianma Decoction on the quality of life of apogeotropic HSC-BPPV patients. Methods a retrospective analysis in July 2015 to May 2017 diagnosed with apogeotropic HSC BPPV - 60 patients,using Chinese vertigo disorder scale,before and after treatment QOL of investigation and evaluation of a month,compared the scores and total scores of the two groups of patients in three aspects of the function,emotion and body with using the oral taking Banxia Baishu Tianma Decoction and improved Nuti method or Gufoni method. Results the scores of each of those options and total scores of DHI after treatment were significantly lower than those of the two groups before treatment,and the difference was statistically significant （ P 〈0.05）. Conclusion between the two groups of patients,the improved Nuti method combined with Chinese traditional medicine group after treatment of DHI each scores and total scores lower than simple technique group,the difference was statistically significant （ P 〈0.05）.conclusion For horizontal nystagmus and secretly BPP patients ,it is more effective to improve the QQL of patients by using the oral taking Banxia Baishu Tianma decotion combined with modified aural calculus resetting than simple technique group,it is more worthy of promotion;Chinese DHI plays an important role in QOL evaluation of BPPV patients.

关 键 词：半夏白术天麻汤 良性阵发性位置性眩晕 耳石重置法 水平背地性眼震 生活质量 眩晕障碍量表 

分 类 号：R76[医药卫生—耳鼻咽喉科] R255.3[医药卫生—临床医学]