头部震动法在后半规管良性阵发性位置性眩晕治疗中的临床效果  

Clinical effect of head-shaking maneuver on posterior semicircular canal benign paroxysmal positional vertigo

作　　者：贾伟 李召晨 刘晓微 JIA Wei;LI Zhaochen;LIU Xiaowei(Department of Neurology,Beijing Huairou Hospital,Beijing 101400,China)

机构地区：[1]北京怀柔医院神经内科,北京101400

出　　处：《中国医药科学》2023年第2期132-135,165,共5页China Medicine And Pharmacy

基　　金：北京市怀柔区卫生健康委员会一般项目(2020-B-002)。

摘　　要：目的 探讨头部震动法在后半规管的良性阵发性位置性眩晕(BPPV)治疗中的疗效。方法 选择2020年1月至2021年12月于北京怀柔医院神经内科就诊的540例后半规管BPPV患者,采用投币法随机分为两组,观察组采用头部震动法,共285例;对照组采用Epley法,共255例。比较治疗前后两组患者的临床治疗效果、前庭症状指数量表(VSI)、眩晕残障量表(DHI)显效状况和治疗后1个月内复发率的差别。结果 头部震动法治疗组治疗后第2天总有效率为95.79%、第3天总有效率为98.60%、第4天总有效率为99.30%;均高于Epley法治疗组的74.51%、88.24%、92.16%,差异有统计学意义(P <0.05);治疗后1周和1个月两组患者VSI评分和DHI评分较治疗前改善,差异有统计学意义(P <0.05),但是观察组更为显著(P <0.05);观察组治疗后1个月内复发率为9.12%,低于对照组的11.76%,但差异无统计学意义(P> 0.05)。结论 头部震动法在后半规管BPPV的临床疗效优于Epley法,有一定的临床应用价值。Objective To investigate the efficacy of head-shaking maneuver on posterior semicircular canal benign paroxysmal positional vertigo(BPPV). Methods A total of 540 posterior semicircular canal BPPV patients visiting the neurology clinic at Beijing Huairou Hospital from January 2020 to December 2021 were selected and randomly divided into two groups by coin-operated method. 285 patients in the observation group were treated with headshaking maneuver, while 255 patients in the control group was treated with Epley maneuver. The clinical treatment effect, vestibular symptom index(VSI), dizziness handicap inventory(DHI) improvement and recurrence rate within one month after treatment were compared between the two groups before and after treatment. Results In the headshaking maneuver treatment group, the total effective rate was 95.79% on the second day, 98.60% on the third day and 99.30% on the fourth day after treatment. Those were higher than 74.51%, 88.24% and 92.16% in the Epley maneuver treatment group, with statistically significant difference(P < 0.05). One week and one month After treatment, the scores of VSI and DHI of patients in both groups decreased significantly compared with those before treatment(P < 0.05), but the decrease was more obvious in the head-shaking maneuver treatment group(P < 0.05). The recurrence rate within one month after treatment in the observation group(9.12%) was lower than that in the control group(11.76%), but there was no statistically significant difference(P > 0.05). Conclusion The clinical effect of the head-shaking maneuver on posterior semicircular canal BPPV is better than that of the Epley maneuver, and it exerts certain clinical application value.

关 键 词：头部震动法 EPLEY法 良性阵发性位置性眩晕 临床疗效 

分 类 号：R764[医药卫生—耳鼻咽喉科]