Wang L Y, Peng H, Huang W N, Gao B
Department of Otolaryngology, Beijing Hospital, Beijing, 100730, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Apr 20;30(8):595-597. doi: 10.13201/j.issn.1001-1781.2016.08.002.
This study was designed to observe the dizziness handicap inventory (DHI) scores in patients with BPPV (benign paroxysmal positional vertigo) before and after maneuver repositioning and aimed to discuss the values of DHI scores in the diagnosing and treatment of BPPV. Charts of 72 patients with BPPV diagnosed by positioning test were reviewed. Four DHI scores were used including the total score (DHIT), the functional score (DHIF), the emotional score (DHIE), and the physical score (DHIP). We compared the pre-repositioning DHI scores and post-repositioning scores of patients, and also compared the DHI scores of patients with and without residual dizziness. All of the 72 patients were underwent maneuver repositioning and recorded the DHI scores. The mean post-repositioning scores were dramatically decreased compared with pre-repositioning scores, and the difference was significant (<0.01). The differences of the DHIP scores between the residual dizziness group and the non-residual dizziness group was not significant, while the DHIF scores, the DHIE scores and the DHIT scores between the two groups were statistically different. After maneuver repositioning the dizziness handicap of BPPV patients could be significantly improved. The next treatment program for residual dizziness patients after successful repositioning could be aimed at the functional and emotional dizziness.
本研究旨在观察良性阵发性位置性眩晕（BPPV）患者手法复位前后的头晕残障量表（DHI）评分，并探讨DHI评分在BPPV诊断和治疗中的价值。回顾了72例经位置试验诊断为BPPV患者的病历。使用了四个DHI评分，包括总分（DHIT）、功能评分（DHIF）、情感评分（DHIE）和身体评分（DHIP）。我们比较了患者复位前和复位后的DHI评分，还比较了有和没有残余头晕患者的DHI评分。所有72例患者均接受了手法复位并记录了DHI评分。复位后的平均评分与复位前评分相比显著降低，差异有统计学意义（<0.01）。残余头晕组和无残余头晕组的DHIP评分差异无统计学意义，而两组之间的DHIF评分、DHIE评分和DHIT评分有统计学差异。手法复位后BPPV患者的头晕残障情况可得到显著改善。复位成功后，针对残余头晕患者的下一步治疗方案可针对功能性和情感性头晕。
