摘要
目的探讨G-Force眩晕诊疗系统治疗老年良性阵发性位置性眩晕(BPPV)的临床疗效。方法回顾分析2018年1月-2019年12月复旦大学附属华东医院诊治的141例老年BPPV患者的临床资料,按患者年龄分为A组和B组,60岁~74岁的老年患者为A组,75岁~89岁的老年患者为B组。2组均采用G-Force眩晕诊疗系统进行耳石复位,评估2组治疗有效率、并发症发生率及复发率,采用眩晕残障程度评定量表(DHI)评价患者的生活质量。结果 A组115例患者复位后1周治疗有效率为91.46%,复位后1个月治疗有效率达96.34%。B组26例患者复位后1周治疗有效率为84.74%,复位后1个月治疗有效率达92.22%。2组差异无统计学意义(P>0.05)。2组复位后1个月的DHI分值,包括总分数(DHIT)、功能性分数(DHIF)、情绪性分数(DHIE)和躯体性分数(DHIP),与复位前比较均下降,差异显著有统计学意义(P<0.001)。比较2组复位前、复位后1个月总分数(DHIT),差异无统计意义(P>0.05)。治疗后随访6个月,2组复发率的差异无统计学意义(P>0.05)。结论 G-Force诊疗系统治疗老年患者BPPV的疗效显著,可克服手法复位的不足,适合不同年龄段的老年人,提高老年患者的生活质量,安全性高,值得临床推广。
Objective To explore the clinical efficacy of G-Force vertigo diagnosis and treatment system in the treatment of benign paroxysmal positional vertigo(BPPV)in the elderly.Methods The clinical data of 141 elderly patients with BPPV treated in Huadong Hospital Affiliated to Fudan University from January 2018 to December 2019 were retrospectively analyzed.The patients were divided into group A and group B according to their age.The patients aged from 60 to 74 were in group A,and the ones aged from 75 to 89 were in group B.Both groups were treated with G-Force vertigo diagnosis and treatment systemfor otolith reposition.The effective rate,complication rate and recurrence rate of the two groups were evaluated.The life quality of the patients was evaluated with Dizziness Handicap Inventory(DHI).Results The treatment effective rate of 115 patients in group A was 91.46%one week after reposition,and 96.34%one month after reposition.The treatment effective rate of 26 patients in group B was 84.74%one week after reposition,and 92.22%one month after reposition.The difference between the two groups was not statistically significant(P>0.05).The DHI scores of the two groups at 1 month after reposition,including total score(DHIT),functional score(DHIF),emotional score(DHIE),and physical score(DHIP),were decreased compared with those before reposition,with significant differences statistical significance(P<0.001).There was no statistically significant difference in the total score(DHIT)between the two groups before reposition and one month after reposition(P>0.05).After 6 months of follow-up,there was no significant difference in recurrence rate between the two groups(P>0.05).Conclusion The G-Force diagnosis and treatment system is effective in treating elderly patients with BPPV,which can overcome the shortcomings of manual reposition.It is suitable for elderly people of different ages and can improve the life quality of elderly patients.It has high safety and is worthy of clinical promotion.
作者
周玲玲
鲁秀玲
韩之瑾
鲍婧
柳春晖
司徒慧如
喻红之
庄文杰
章如新
Zhou Lingling;Lu Xiuling;Han Zhijin;Bao Jing;Liu Chunhui;Situ Huiru;Yu Hongzhi;Zhuang Wenjie;Zhang Ruxin(Department of Otorhinolaryngology,Huadong Hospital Affiliated to Fudan University,Shanghai,200040,P.R.China)
出处
《老年医学与保健》
CAS
2021年第2期326-329,共4页
Geriatrics & Health Care
关键词
老年
良性阵发性位置性眩晕
眩晕残障程度评定量表
疗效
elderly
benign paroxysmal positional vertigo
dizziness handicap inventory
curative effect
