摘要
目的:探讨倍他司汀联合前庭康复训练在手法复位后良性阵发性位置性眩晕(BPPV)患者中的应用效果。方法:回顾性分析2019年1月至2021年1月该院收治的102例BPPV患者的临床资料,根据治疗方案不同分为对照组、观察组各51例。两组均经手法复位成功,在此基础上,对照组采用前庭康复训练,观察组在对照组基础上加用盐酸倍他司汀片,两组均治疗6周。比较两组临床疗效,治疗前后前庭症状指数(VSI)、Berg平衡量表(BBS)、眩晕残障程度评定量表(DHI)评分,不良反应发生率,以及治疗3个月后复发情况。结果:观察组治疗总有效率为94.12%(48/51),高于对照组的78.43%(40/51),差异有统计学意义(P<0.05);治疗后,观察组VSI评分及功能、躯体、情感等DHI各维度评分均低于对照组,BBS评分高于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05);治疗3个月后,观察组复发率为9.80%(5/51),低于对照组的31.37%(16/51),差异有统计学意义(P<0.05)。结论:倍他司汀联合前庭康复训练应用于手法复位后BPPV患者可提高疗效,减轻眩晕、前庭紊乱症状,改善患者平衡功能,降低复发率,效果优于单用前庭康复训练。
Objective:To investigate effects of Betahistine combined with vestibular rehabilitation training on patients with benign paroxysmal positional vertigo(BPPV)after manual reduction.Methods:The clinical data of 102 patients with BPPV admitted to this hospital from January 2019 to January 2021 were retrospectively analyzed.According to different treatment options,they were divided into control group and observation group,51 cases in each group.Both groups were successfully reduced by manipulation.On this basis,the control group was treated with vestibular rehabilitation training,while the observation group was treated with Betahistine hydrochloride tablets on the basis of that of the control group for 6 weeks.The clinical efficacy,the vestibular symptom index(VSI),the Berg balance scale(BBS)score,the dizziness handicap inventory(DHI)score,the adverse reactions,and the recurrence after 3 months of treatment were compared between the two groups.Results:The total effective rate of the observation group was 94.12%(48/51),which was higher than 78.43%(40/51)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the VSI score and DHI scores of function,body and emotion in the observation group were lower than those in the control group,the BBS score was higher than that in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).After 3 months of treatment,the recurrence rate of the observation group was 9.80%(5/51),which was lower than 31.37%(16/51)of the control group,and the difference was statistically significant(P<0.05).Conclusions:Betahistine combined with vestibular rehabilitation training in the treatment of the BPPV patients with successful manual reduction can improve the curative effects,reduce the symptoms of vertigo and vestibular disorder,improve the balance function and reduce the recurrence rate.Moreover,it is superior to single vestibular rehabilitation training.
作者
张笑
ZHANG Xiao(Department of Neurology of Zhecheng Hospital of Traditional Chinese Medicine,Zhecheng 476200 Henan,China)
出处
《中国民康医学》
2023年第9期31-33,共3页
Medical Journal of Chinese People’s Health
关键词
倍他司汀
良性阵发性位置性眩晕
耳石症
前庭康复训练
手法复位
Betahistine
Benign paroxysmal positional vertigo
Otolith disease
Vestibular rehabilitation training
Manual reduction
