Sun L B, Zheng Z Y, Wang B Q, Yu W Y, Yang J, Guo W J, Ren H J
College of Nurse, Shanxi Medical University, Taiyuan, 030001, China.
Department of Otolaryngology Head and Neck Surgery, the First Hospital Shanxi Medical University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Jun 20;31(12):897-900. doi: 10.13201/j.issn.1001-1781.2017.12.001.
To explore the curative effect and quality life of the vestibular rehabilitation training on residual dizziness after successful canalith repositioning maneuvers in patients with benign paroxysmal positional vertigo (BPPV). Residual dizziness after successful canalith repositioning maneuvers in patients with BPPV were enrolled in our study. They were randomized into three groups, the control group A were no disposition which include 32 patients, the intervention group B were guided to self rehabilitation training which include 33 patients, the control group C were guided to Brandt Daroff training which include 33 patients. Dizziness handicap inventory (DHI) and residual dizziness duration were used to evaluation the patients. After one week vestibular rehabilitation training, the scores of DHI in group B and C decreased, and there was no significant difference (>0.05), there were significant differences between group B and group C in group A, respectively (<0.01). After four weeks of vestibular rehabilitation training, the scores of DHI in group B and group C were lower than those in group A, the decrease of group B was significantly higher than that of group C (<0.01). The residual dizziness duration indicated that no statistical differences in the B, C groups (>0.05) and scores of group B,C were significantly lower than group A (<0.05). The appropriate vestibular rehabilitation training on residual dizziness after successful canalith repositioning maneuvers in patients with BPPV can help promote the central vestibular compensation, reduce the residual symptoms, improve the quality life of patients, and which can be used as the adjuvant treatment on BPPV patient who has residual dizziness symptoms.
探讨良性阵发性位置性眩晕（BPPV）患者行半规管结石复位术后残余头晕的前庭康复训练疗效及生活质量。将BPPV患者行半规管结石复位术后残余头晕者纳入本研究。将其随机分为三组，对照组A未进行处理，共32例患者；干预组B指导其进行自我康复训练，共33例患者；对照组C指导其进行Brandt-Daroff训练，共33例患者。采用头晕残障量表（DHI）及残余头晕持续时间对患者进行评估。经过1周的前庭康复训练后，B组和C组的DHI评分均下降，且差异无统计学意义（>0.05），A组与B组、C组间差异有统计学意义（<0.01）。经过4周的前庭康复训练后，B组和C组的DHI评分低于A组，B组下降幅度明显高于C组（<0.01）。残余头晕持续时间显示，B、C组差异无统计学意义（>0.05），B、C组评分均明显低于A组（<0.05）。对BPPV患者行半规管结石复位术后残余头晕进行适当的前庭康复训练，有助于促进中枢前庭代偿，减轻残余症状，提高患者生活质量，可作为有残余头晕症状的BPPV患者的辅助治疗方法。
