Epley手法复位联合药物治疗良性阵发性位置性眩晕患者的效果  

Effects of Epley manual reduction combined with medical treatment in treatment of patients with benign paroxysmal positional vertigo

作　　者：罗常月[1] LUO Changyue(Department of Neurology of Shangqiu First People’s Hospital,Shangqiu 476000 Henan,China)

机构地区：[1]商丘市第一人民医院神经内科,河南商丘476000

出　　处：《中国民康医学》2023年第9期34-36,43,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察Epley手法复位联合药物治疗良性阵发性位置性眩晕患者的效果。方法:选取2019年2月至2021年1月该院收治的102例良性阵发性位置性眩晕患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各51例。对照组采用药物(银杏叶提取物注射液+盐酸倍他司汀片)治疗,研究组在对照组基础上采用Epley手法复位治疗。比较两组临床疗效、治疗前后Berg平衡量表(BBS)评分、计时平衡试验、前庭症状指数(VSI)评分、脑动脉(基底动脉、右侧椎动脉、左侧椎动脉)血流速度、复发率及不良反应发生率。结果:研究组治疗总有效率为96.08%(49/51),高于对照组的82.35%(42/51),差异有统计学意义(P<0.05);治疗后,两组BBS评分均高于治疗前,计时平衡试验时间长于治疗前,VSI评分低于治疗前,且研究组优于对照组,差异有统计学意义(P<0.05);治疗后,两组基底动脉、右侧椎动脉、左侧椎动脉血流速度均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05);治疗1、3个月后,两组复发率比较,差异均无统计学意义(P>0.05);治疗6个月后,研究组复发率为6.12%(3/49),低于对照组23.81%(10/42),差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:Epley手法复位联合药物治疗良性阵发性位置性眩晕患者可提高治疗总有效率、平衡功能和大脑血液循环,降低VSI评分和复发率,效果优于单纯药物治疗。Objective:To observe effects of Epley manual reduction combined with medical treatment in treatment of patients with benign paroxysmal positional vertigo Methods:A prospective study was conducted on 102 patients with benign pa roxysmal positional vertigo admitted to the hospital from February 2019 to January 2021.They were divided into control group and study group according to the random number table method,51 cases in each.The control group was given medical treatment(ginkgo biloba extract injection+Betahistine hydrochloride tablets),while the study group was treated with Epley manual reduction on the basis of that of the control group.The clinical efficacy,the Berg balance scale(BBS)score,the timing balance test time,the vestibular symptom index(VSI)score,the arterial blood flow velocities(basilar artery,right vertebral artery,left vertebral artery)before and after the treatment,the recurrence rate,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the study group was 96.08%(49/51),which was higher than 82.35%(42/51)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the BBS scores of the two groups were higher than those before the treatment,the time of timing balance test was longer than that before the treatment,the VSI score was lower than that before the treatment,those of the study group were better than those of the control group,and the differences were statistically significant(P<0.05).After the treatment,the blood flow velocities of basilar artery,right vertebral artery and left vertebral artery in the two groups were higher than those before the treatment,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).1 and 3 months of treatment,there were no significant differences in the recurrence rate between the two groups(P>0.05).After 6 months of treatment,the recurrence rate of the study group was 6.12%(3/49),w

关 键 词：良性阵发性位置性眩晕 Epley手法复位 耳石症 银杏叶提取物 倍他司汀 平衡功能 前庭症状指数 

分 类 号：R764[医药卫生—耳鼻咽喉科]