前庭康复训练与手法复位治疗良性阵发性位置性眩晕的作用  

Effect of Vestibular Rehabilitation Training and Manual Reduction Treatment on Benign Paroxysmal Positional Vertigo

作　　者：董杉杉 肖利杰 DONG Shanshan;XIAO Lijie(Department of Neurology,the Second Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China;不详)

机构地区：[1]徐州医科大学第二附属医院神经内科,江苏徐州221000

出　　处：《中国医学创新》2024年第31期163-167,共5页Medical Innovation of China

摘　　要：目的:研究分析前庭康复训练联合手法复位治疗良性阵发性位置性眩晕(BPPV)的改善作用及对脑血流速度的影响。方法:选取徐州医科大学附属第二医院2021年10月—2023年10月收治的102例BPPV患者,按照随机抽签法将其分为观察组(n=51)和对照组(n=51)。两组均采取甲磺酸倍他司汀治疗,对照组予以手法复位治疗,观察组在对照组的基础上联合前庭康复训练治疗。比较两组的临床疗效、前庭症状指数(VSI)、Berg平衡量表(BBS)评分及脑血流速度水平。结果:观察组的治疗总有效率(94.12%)、治疗后BBS评分[(40.98±5.17)分]均高于对照组[80.39%、(36.95±5.03)分],VSI评分[(25.33±6.51)分]低于对照组[(28.98±7.38)分],差异均有统计学意义(P<0.05);观察组治疗后的右椎动脉[(30.51±4.70)cm/s]、左椎动脉[(36.97±6.02)cm/s]、基底动脉血流速度[(41.42±6.01)cm/s]均高于对照组[(27.91±4.10)、(33.57±5.30)、(37.04±5.42)cm/s],差异均有统计学意义(P<0.05)。结论:BPPV采取前庭康复训练联合手法复位能够有效提升临床疗效,改善眩晕症状和脑血流速度,促使患者的平衡能力得以显著提升。Objective:To study and analyze the improvement effect of vestibular rehabilitation training combined with manual reduction treatment on benign paroxysmal positional vertigo(BPPV)and its impact on cerebral blood flow velocity.Method:A total of 102 BPPV patients admitted to the Second Affiliated Hospital of Xuzhou Medical University from October 2021 to October 2023 were selected and divided into observation group(n=51)and control group(n=51)according to random drawing method.Both groups were treated with Betahistine Mesylate,the control group was treated with manual reduction,and the observation group was treated with vestibular rehabilitation training on the basis of control group.The clinical efficacy,vestibular symptom index(VSI),Berg balance scale(BBS)scores and cerebral blood flow velocity were compared between the two groups.Result:The total effective rate(94.12%),post-treatment BBS score[(40.98±5.17)points]of the observation group were higher than those of the control group[80.39%,(36.95±5.03)points],and VSI score[(25.33±6.51)points]was lower than that of the control group[(28.98±7.38)points],the differences were statistically significant(P<0.05).After treatment,the right vertebral artery[(30.51±4.70)cm/s],left vertebral artery[(36.97±6.02)cm/s]and basilar artery flow velocity[(41.42±6.01)cm/s]in the observation group were higher than those in the control group[(27.91±4.10),(33.57±5.30),(37.04±5.42)cm/s],the differences were statistically significant(P<0.05).Conclusion:Vestibular rehabilitation training combined with manual reduction of BPPV can effectively improve clinical efficacy,improve vertigo symptoms and cerebral blood flow velocity,and promote the balance ability of patients to be significantly improved.

关 键 词：前庭康复训练 手法复位 良性阵发性位置性眩晕 脑血流速度 

分 类 号：R764[医药卫生—耳鼻咽喉科]