摘要
目的:探究对耳石手法复位后有残留症状的老年良性阵发性位置性眩晕(BPPV)患者进行个性化治疗的临床疗效。方法:选取2018年3月—2021年3月在我院确诊为BPPV,并在接受治疗后出现残留症状的60例老年患者,随机分为观察组和对照组,各30例。对照组行常规治疗,观察组则根据患者不同病症特点制定出个性化的诊疗方法,在患者治疗前、治疗2周和治疗4周3个时期进行眩晕相关检测,并对治疗后临床效果进行评测,主要评测方法是采用VSI、DHI、BERG和SF36-健康调查表评估。结果:在治疗2周后,2组治疗疗效(VSI、DHI、BBS量表)差异不明显;但在治疗4周后,个性化治疗相较于传统常规治疗的效果有显著性升高(P<0.05)。结论:复位后有残留症状的良性阵发性位置性眩晕老年患者通过个性化治疗能够缩短病程,明显改善残留症状,临床应用价值高。
Objective:To explore the clinical efficacy of individualized treatment for elderly patients with benign paroxysmal positional vertigo(BPPV)with residual symptoms after otolith manipulation reduction.Method:Select 60 elderly patients diagnosed as BPPV in our hospital and had residual symptoms after treatment were randomly divided into observation group and control group,30 cases each from March 2018 to March 2021.The control group received routine treatment,while the observation group developed personalized diagnosis and treatment methods according to the characteristics of patients with different diseases Vertigo related tests were carried out for 4 weeks after treatment,and the clinical effects were evaluated after treatment.The main evaluation methods were VSI,DHI,BERG and SF36-Health questionnaire evaluation.Results:After 2 weeks of treatment,there was no significant difference between the two groups(VSI,DHI,BBS scale);But after 4 weeks of treatment,personalized treatment Compared with the traditional conventional treatment,the effect was significantly increased(P<0.05).Conclusion:The elderly patients with benign paroxysmal positional vertigo who have residual symptoms after repositioning pass the personality Chemotherapy can shorten the course of disease,improves residual symptoms significantly,and has high clinical application value.
作者
彭清华
钟慧球
雷丹红
罗红强
PENG Qing-hua;ZHONG Hui-qiu;LEI Dan-hong;LUO Hong-qiang(Department of Otorhinolaryngology Head and Neck Surgery,Jiangxi People's Hospital,Nanchang 330006,China.)
出处
《江西中医药大学学报》
2023年第1期61-64,共4页
Journal of Jiangxi University of Chinese Medicine
基金
江西省中医药管理局科技计划项目(2020B0104)。
关键词
BPPV
残留症状
前庭康复训练
心理干预
升阳祛霾针灸法
热敏灸
BPPV
Residual Symptoms
Vestibulour Rehabilitation Training
Psychological Intervention
Acupuncture and Moxibustion for Shengyang Qumai
Heat-sensitive Moxibustion
