个体化Epley手法复位联合尼麦角林治疗半规管良性阵发性位置性眩晕疗效观察  

Therapeutic effect of individualized Epley manipulation reduction combined with Niergoline in the treatment of benign paroxysmal positional vertigo of posterior semicircular canal

作　　者：郭改艳[1] 宋倩 刘春霞 吴瑞[1] 高亚军[1] GUO Gai-yan;SONG Qian;LIU Chun-xia;WU Rui;GAO Ya-jun(Department of Neurology,the Affiliated Hospital of Yan'an University,Yan'an 716000,Shaanxi,CHINA;Department of Clinical Laboratory,the Affiliated Hospital of Yan'an University,Yan'an 716000,Shaanxi,CHINA;Department of Radiology,the Affiliated Hospital of Yan'an University,Yan'an 716000,Shaanxi,CHINA)

机构地区：[1]延安大学附属医院神经内科,陕西延安716000 [2]延安大学附属医院检验科,陕西延安716000 [3]延安大学附属医院放射科,陕西延安716000

出　　处：《海南医学》2023年第24期3554-3557,共4页Hainan Medical Journal

基　　金：陕西省重点研发计划项目(编号:20SF-223)。

摘　　要：目的观察个体化Epley手法复位联合尼麦角林治疗半规管良性阵发性位置性眩晕(PC-BPPV)的临床效果。方法选择2020年1月至2022年12月于延安大学附属医院诊治的102例PC-BPPV患者作为研究对象,依据随机数表法将患者分为对照组和研究组,每组各51例。对照组患者接受改良Epley手法复位联合尼麦角林治疗,研究组患者接受个体化Epley手法复位联合尼麦角林治疗。均连续治疗2周后,比较两组患者的临床疗效及治疗前后的眩晕残障量表(DHI)评分、前庭症状指数(VIS)评分和计时平衡试验结果。结果研究组患者的治疗总有效率为98.04%,明显高于对照组的86.27%,差异有统计学意义(P<0.05);治疗前,两组患者的躯体、功能、情绪评分比较,差异均无统计学意义(P>0.05),治疗后,两组患者的躯体、功能、情绪评分均显著降低,且研究组患者的上述评分分别为(8.17±2.49)分、(8.41±2.21)分、(8.34±2.46)分,明显低于对照组的(12.46±3.98)分、(13.24±3.16)分、(10.97±3.26)分,差异均有统计学意义(P<0.05);治疗前,两组患者的VSI评分与计时平衡试验比较,差异均无统计学意义(P>0.05),治疗后,两组患者的VSI评分均显著降低,且研究组为(19.94±5.51)分,明显低于对照组的(25.91±6.60)分,而两组患者的计时平衡试验均显著变长,且研究组为(114.25±11.53)s,明显长于对照组的(97.08±6.45)s,差异均有统计学意义(P<0.05)。结论个体化Epley手法复位联合尼麦角林治疗PC-BPPV疗效显著,且能显著改善DHI评分,值得临床推广应用。Objective To investigate the effect of individualized Epley manipulation reduction combined with Niergoline in the treatment of benign paroxysmal positional vertigo of posterior semicircular canal(PC-BPPV).Methods A total of 102 PC-BPPV patients diagnosed and treated in the Affiliated Hospital of Yan'an University from January 2020 to December 2022 were selected and divided into a control group and a study group according to random number table,with 51 cases in each group.The patients in the control group received modified Epley manipulation reduction and niergoline treatment,and those in the study group received individualized Epley manipulation reduction and Niergoline treatment.After 2 weeks of treatment,the clinical efficacy,Dizziness Haridicap Inventory(DHI)scores,vestibular symptom index(VIS)scores,and timing balance test results were compared between the two groups before and after treatment.Results The total effective rate of the study group was 98.04%,which was significantly higher than 86.27%of the control group(P<0.05).Before treatment,there were no significant differences in physical,functional,and emotional scores between the two groups(P>0.05);after treatment,the scores of both groups were significantly reduced(P<0.05);after treatment,the scores of the study group were(8.17±2.49)points,(8.41±2.21)points,and(8.34±2.46)points,which were significantly lower than(12.46±3.98)points,(13.24±3.16)points,and(10.97±3.26)points of the control group(P<0.05).Before treatment,there were no significant difference in VSI scores and the timing balance test between the two groups(P>0.05);after treatment,the VSI scores of both groups significantly decreased,and the score of the study group was(19.94±5.51)points,significantly lower than(25.91±6.60)points of the control group(P<0.05);after treatment,the timing balance test of both groups were significantly increased,and the time was(114.25±11.53)s in the study group,which was significantly longer than(97.08±6.45)s of the control group(P<0.05).Conclusion Indivi

关 键 词：后半规管良性阵发性位置性眩晕 Epley手法复位 尼麦角林 个体化 疗效 

分 类 号：R441.2[医药卫生—诊断学]