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[不同治疗方法对良性阵发性位置性眩晕患者行半规管结石复位术后残余症状的疗效]

[Efficacy of different treatment on residual symptoms aftercanalith repositioning procedure in patients withbenign paroxysmal positional vertigo].

作者信息

Xu Y, Fu M, Zhang N

机构信息

Department of Otolaryngology,the Second Hospital of Dalian Medical University,Dalian,116023,China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Jul 20;30(14):1146-1149. doi: 10.13201/j.issn.1001-1781.2016.14.015.

Abstract

To assess which methods are effective for residual symptoms after canalith repositioning procedure in patients with benign paroxysmal positional vertigo(BPPV) then guide the clinical treatment.A total of 93 cases who were diagnosed with BPPV,then after the canalith repositioning procedure,which still have residual symptoms were enrolled in our study.They were randomized into three groups,The control group(A),The drug group(Ginkgo Leaves Soft-gel Capsule and Qiangli Dingxuan tablets)(B),The vestibular rehabilitation gymnastics group(C).Then compare the efficacy of different treatment.In the follow-up of 30 days,the number of DHI scores decline of group A is significantly lower than that of group B(<0.05) and C(<0.05),making statistical significance.The residual symptom duration of group A is significantly longer than that of group B(<0.05) and C(<0.05),making statistical significance.There is no significant statistical difference in comparing the number of DHI scores decline in the follow-up of 30 days,and the residual symptom duration of B and C(>0.05).The drugs for improve the microcirculation and vestibular rehabilitation gymnastics can reduce the duration of residual symptoms.

摘要

评估哪些方法对良性阵发性位置性眩晕(BPPV)患者行半规管结石复位术后的残余症状有效,从而指导临床治疗。共有93例被诊断为BPPV且在行半规管结石复位术后仍有残余症状的患者纳入本研究。他们被随机分为三组,对照组(A组)、药物组(银杏叶软胶囊和强力定眩片)(B组)、前庭康复体操组(C组)。然后比较不同治疗方法的疗效。在30天的随访中,A组DHI评分下降的数量显著低于B组(<0.05)和C组(<0.05),具有统计学意义。A组残余症状持续时间显著长于B组(<0.05)和C组(<0.05),具有统计学意义。比较30天随访中B组和C组DHI评分下降的数量以及残余症状持续时间,无显著统计学差异(>0.05)。改善微循环的药物和前庭康复体操可缩短残余症状的持续时间。

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