倍他司汀联合Epley手法复位治疗良性阵发性位置性眩晕的效果  

Effect of Betahistine combined with Epley manipulation reduction in treatment of benign paroxysmal positional vertigo

作　　者：李程 LI Cheng(Department of Neurology,Sihong Anyi Hospital,Suqian,Jiangsu 223900,China)

机构地区：[1]泗洪安颐医院神经内科,江苏宿迁223900

出　　处：《医药前沿》2025年第3期58-61,共4页Journal of Frontiers of Medicine

摘　　要：目的 分析倍他司汀联合Epley手法复位治疗良性阵发性位置性眩晕(BPPV)患者的效果。方法 选取2021年4月—2023年12月泗洪安颐医院收治的111例BPPV患者,利用红蓝球法分为对照组(55例)和观察组(56例)。对照组予以Epley手法复位治疗,观察组予以倍他司汀联合Epley手法复位治疗。比较两组治疗效果、前庭症状、生活改善情况及复发情况。结果 观察组治疗总改善率及生活质量各维度评分高于对照组,前庭症状各维度评分和复发率低于对照组,差异均有统计学意义(P<0.05)。结论 倍他司汀联合Epley手法复位治疗BPPV具有一定优势,有利于改善患者的前庭症状、提高其生活质量,且复发率较低。Objective To analyze the effect of Betahistine combined with Epley manipulation reduction in the treatment of benign paroxysmal positional vertigo(BPPV).Methods A total of 111 BPPV patients admitted to Sihong Anyi Hospital from April 2021 to December 2023 were selected and divided into control group(55 cases)and observation group(56 cases)by red and blue ball method.Control group was treated with Epley manipulation,observation group was treated with Betahistine combined with Epley manipulation reduction.The treatment effect,vestibular symptoms,life improvement and recurrence were compared between the two groups.Results The total improvement rate and quality of life score for each dimension of the observation group were higher than those of the control group,and the vestibular symptom score for each dimension and recurrence rate were lower than those of the control group,with statistical significance(P<0.05).Conclusions Betahistine combined with Epley manipulation reduction has certain advantages in the treatment of BPPV,which is conducive to improving the vestibular symptoms and the quality of life of patients,and the recurrence rate is low.

关 键 词：良性阵发性位置性眩晕 倍他司汀 Epley手法复位 治疗效果 生活质量 头痛 前庭症状 复发率 

分 类 号：R441[医药卫生—诊断学]