健脾化痰法联合前庭康复训练治疗良性阵发性位置性眩晕残余症状的临床研究  

Clinical study on spleen-strengthening and phlegm-eliminating combined with vestibular rehabilitation training in the treatment of residual symptoms of benign paroxysmal positional vertigo

作　　者：曾屹生[1] 陈宇[1] 王丽云[1] 郑晓雯[1] 修春英 Zeng Yisheng;Chen Yu;Wang Liyun;Zheng Xiaowen;Xiu Chunying(The Second People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350003;Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350003)

机构地区：[1]福建中医药大学附属第二人民医院,福建福州350003 [2]福建中医药大学附属康复医院,福建福州350003

出　　处：《山西中医药大学学报》2024年第10期1155-1159,1164,共6页Journal of Shanxi University of Chinese Medicine

基　　金：福建省康复技术重点实验室开放课题(XKF2023003)。

摘　　要：目的:观察健脾化痰法联合前庭康复训练治疗良性阵发性位置性眩晕(BPPV)残余症状的临床疗效。方法:临床收集BPPV经手法复位治疗后仍存残余症状患者60例,按随机数字表法分为治疗组和对照组,每组30例。对照组予前庭康复训练治疗,治疗组在对照组基础上加用半夏白术天麻汤加减口服治疗。观察两组患者残余头晕持续时间、眩晕残障量表(DHI)评分、中医证候积分及血液流变学指标,进行临床疗效分析。结果:治疗组残余头晕持续时间较对照组缩短,差异有统计学意义(P<0.05);治疗组DHI量表总评分、DHI量表躯体(P)、情感(E)和功能(F)评分及中医证候积分均明显低于对照组,差异有统计学意义(P<0.01,P<0.001),且总有效率较对照组明显提高,差异有统计学意义(P<0.05);血液流变学指标比较,治疗后,对照组全血高切黏度、血浆黏度及纤维蛋白水平与治疗组全血高切黏度、全血低切黏度、血浆黏度及纤维蛋白水平均较治疗前降低,且治疗组较对照组降低更明显,差异有统计学意义(P<0.05,P<0.01,P<0.001)。结论:应用健脾化痰法联合前庭康复训练治疗BPPV残余症状具有较好的临床疗效,值得推广。Objective:To observe the clinical efficacy of spleen-strengthening and phlegm-eliminating combined with vestibular rehabilitation training in the treatment of residual symptoms of benign paroxysmal positional vertigo(BPPV).Methods:60 BPPV patients with residual symptoms after manual reduction treatment were collected and divided into treatment group and control group by random number table method,with 30 cases in each group.The patients in the control group received vestibular rehabilitation training,and the patients in the treatment group were treated with oral modified Banxia Baizhu Tianma Decoction on the treatment basis of the control group.The duration of residual dizziness,dizziness handicap inventory(DHI)score,TCM syndrome score and hemorheology indexes of the two groups were observed,and the clinical efficacy was analyzed.Results:The duration of residual dizziness in the treatment group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The total DHI scale score,DHI scale physical(P),emotion(E)and function(F)scores and TCM syndrome scores of the treatment group were significantly lower than those of the control group,and the differences were statistically significant(P<0.01,P<0.001).The total effective rate of the treatment group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).In terms of hemorheological indicators,after treatment,the whole blood high shear viscosity,plasma viscosity and fibrin level of the control group and the whole blood high shear viscosity,whole blood low shear viscosity,plasma viscosity and fibrin level of the treatment group were lower than those before treatment,and the reduction in treatment group was more obvious than that in control group,with the statistical significance(P<0.05,P<0.01 and P<0.001).Conclusion:Spleenstrengthening and phlegm-eliminating combined with vestibular rehabilitation training in the treatment of residual symptoms of BPPV has good clinical eff

关 键 词：良性阵发性位置性眩晕 残余症状 前庭康复训练 健脾化痰法 半夏白术天麻汤 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]