前庭康复训练联合Epley耳石复位法治疗良性阵发性位置性眩晕的临床疗效评价  

Clinical evaluation of vestibular rehabilitation training combined with Epley otolith reduction in the treatment of benign paroxysmal positional vertigo.

作　　者：赵淑颖[1] 刘红[1] 武桂花[1] 李效 赵琳 ZHAO Shu-ying;LIU Hong;WU Gui-hua(Department of Neurology,Heping Hospital Affiliated to Changzhi Medical College,Changzhi Shanxi 046000,China.)

机构地区：[1]长治医学院附属和平医院神经内科,山西长治046000

出　　处：《临床和实验医学杂志》2023年第19期2102-2106,共5页Journal of Clinical and Experimental Medicine

基　　金：山西省2020年研究生创新项目(编号:2020SY447)。

摘　　要：目的评价前庭康复训练联合Epley耳石复位法治疗良性阵发性位置性眩晕的临床疗效。方法前瞻性选取2021年8月至2022年10月在长治医学院附属和平医院诊治的良性阵发性位置性眩晕患者96例,按随机数字表法将其分为观察组和对照组,各48例。观察组应用前庭康复训练+Epley耳石复位法联合治疗,对照组患者常规Epley耳石复位法治疗,连续治疗2个月。比较两组患者的临床疗效、复发率、眩晕残障程度评定量表(DHI)、前庭症状指数(VSI)、Berg平衡量表(BBS)、医院焦虑抑郁量表(HADS)评分情况。结果观察组治疗总有效率为95.83%,明显高于对照组(77.08%),复发率为8.33%,明显低于对照组(39.58%),差异均有统计学意义(P<0.05)。治疗后,两组患者的DHI、VSI、HADS-A、HADS-D评分均较治疗前明显下降,BBS评分较治疗前明显升高,且观察组患者的DHI、VSI、HADS-A、HADS-D评分分别为(12.65±1.76)、(0.92±0.31)、(2.52±0.73)、(1.64±0.64)分,均明显低于对照组[(25.50±4.12)、(2.43±0.45)、(4.93±1.19)、(3.97±1.05)分],BBS评分为(40.45±12.58)分,明显高于对照组[(28.51±9.27)分],差异均有统计学意义(P<0.05)。结论前庭康复训练联合Epley耳石复位法治疗良性阵发性位置性眩晕疗效显著,可明显降低患者的DHI、VSI、HADS评分,改善患者平衡能力。Objective To evaluate the clinical efficacy of vestibular rehabilitation training combined with Epley otolith reduction in the treatment of benign paroxysmal positional vertigo(BPPV).Methods A total of 96 patients with benign paroxysmal positional vertigo diagnosed and treated in Heping Hospital Affiliated to Changzhi Medical College from August 2021 to October 2022 were prospectively selected and divided into observation group and control group according to the random number table,with 48 cases in each group.The observation group was treated with vestibular rehabilitation training and Epley otolith reduction,while the control group was treated with routine epley otolith reduction for 2 months.The clinical efficacy and the scores of dizziness handicap inventory(DHI),vestibular symptom index(VSI),Berg balance scale(BBS)and hospital anxiety and depression scale(HADS)were compared between the two groups.Results The total effective rate in the observation group was 95.83%,which was significantly higher than that in the control group(77.08%),and the recurrence rate was 8.33%,which was significantly lower than that of the control group(39.58%),and the differences were statistically significant(P<0.05).After treatment,the scores of DHI,VSI,HADS-A and HADS-D in the two groups were significantly lower than those before treatment,and the BBS scores were significantly higher than those before treatment,and the scores of DHI,VSI and HADS-A and HADS-D in the observation group were(12.65±1.76),(0.92±0.31),(2.52±0.73),(1.64±0.64)points,respectively,which were significantly lower than those in the control group[(25.50±4.12),(2.43±0.45),(4.93±1.19),(3.97±1.05)points],and the BBS score was(40.45±12.58)points,which was significantly higher than that in the control group[(28.51±9.27)points],the differences were statistically significant(P<0.05).Conclusion Vestibular rehabilitation training combined with Epley otolith reduction is effective in the treatment of BPPV,which can significantly reduce the scores of DHI,VSI and HA

关 键 词：阵发性位置性眩晕 前庭康复训练 Epley耳石复位 临床疗效 

分 类 号：R764[医药卫生—耳鼻咽喉科]