银杏叶提取物注射液联合盐酸倍他司汀治疗耳石症眩晕患者的临床疗效观察  

Observation on the Clinical Efficacy of Ginkgo Biloba Leaf Extract Injection Combined with Betahistine Hydrochloride in the Treatment of Patients with Vertigo Caused by Benign Paroxysmal Positional Vertigo

作　　者：华昕 HUA Xin(Department of Neurology,Xuzhou Mining Group Second Hospital,Xuzhou 221011,China)

机构地区：[1]徐州矿务集团第二医院神经内科,江苏徐州221011

出　　处：《反射疗法与康复医学》2024年第20期90-93,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨银杏叶提取物注射液联合盐酸倍他司汀治疗耳石症眩晕患者的临床疗效。方法选取2022年1月—2023年12月徐州矿务集团第二医院收治的60例耳石症眩晕患者为研究对象,按随机数字表法将其分为对照组和研究组,每组30例。对照组采用盐酸倍他司汀治疗,研究组在对照组的基础上采用银杏叶提取物注射液治疗。两组患者均持续治疗7 d。比较两组的临床疗效、眩晕程度、前庭功能、平衡能力、复发情况。结果研究组治疗总有效率为96.67%,高于对照组的73.33%,差异有统计学意义(P<0.05)。治疗前,两组眩晕程度、前庭功能、平衡能力比较,组间差异无统计学意义(P>0.05);治疗后,研究组眩晕残障程度评定量表、前庭症状指数评分均低于对照组,Berg平衡量表评分高于对照组,组间差异有统计学意义(P<0.05)。治疗后6个月,对照组的再复发率为26.67%,高于研究组的3.33%,差异有统计学意义(P<0.05)。结论耳石症眩晕患者采用银杏叶提取物注射液联合盐酸倍他司汀治疗,可改善其前庭功能,减轻眩晕症状,恢复平衡能力,并降低疾病复发风险,治疗效果较理想。Objective To explore the clinical efficacy of ginkgo biloba leaf extract injection combined with betahistine hydrochloride in the treatment of patients with vertigo caused by benign paroxysmal positional vertigo.Methods Sixty patients with vertigo caused by benign paroxysmal positional vertigo who were admitted to Xuzhou Mining Group Second Hospital from January 2022 to December 2023 were selected as the research objects.They were divided into a control group and a research group according to the random number table method,with 30 cases in each group.The control group was treated with betahistine hydrochloride,while the research group was treated with ginkgo biloba leaf extract injection on the basis of the treatment of the control group,both groups of patients received continuous treatment for 7 days.The clinical efficacy,degree of vertigo,vestibular function,balance ability and recurrence situation of the two groups were compared.Results The total effective rate of treatment in the research group was 96.67%,which was higher than 73.33%in the control group,and the difference was statistically significant(P<0.05).Before treatment,the degree of vertigo,vestibular function and balance ability were compared between the two groups,and the differences between the groups were not statistically significant(P>0.05);after treatment,the scores of the Dizziness Handicap Inventory and the Vestibular Symptom Index in the research group were both lower than those in the control group,while the score of the Berg Balance Scale in the research group was higher than that in the control group,and the differences between the groups were statistically significant(P<0.05).Six months after treatment,the recurrence rate in the control group was 26.67%,which was higher than 3.33%in the research group,and the difference was statistically significant(P<0.05).Conclusion For patients with vertigo caused by benign paroxysmal positional vertigo,the treatment with ginkgo biloba leaf extract injection combined with betahistine hydrochloride can

关 键 词：耳石症眩晕 银杏叶提取物 盐酸倍他司汀 眩晕症状 前庭功能 平衡能力 复发率 

分 类 号：R764[医药卫生—耳鼻咽喉科]