Zhang Baoxia, Zhao Feifei
Inner Mongolia Medical University,Hohhot,010059,China.
Department of Otolaryngology Head and Neck Surgery,Affiliated Hospital of Inner Mongolia Medical University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Jul;35(7):598-601. doi: 10.13201/j.issn.2096-7993.2021.07.005.
To observe the effect of Brandt-Daroff training combined with otolith reduction instrument in the treatment of benign paroxysmal positional vertigo(BPPV). The patients were randomly divided into control group and study group, with 54 cases and 56 cases, respectively. The patients in control group were treated with otolith reposition and health education, while those in study group were treated with aforementioned treatment plus Brandt-Daroff acclimatization training. Effectiveness, vestibular symptoms index, dizziness disability degree and the duration of residual symptoms were compared between two groups. The total efficiency rate was 96.3% in the observation group and 92.5% in the control group, and the difference was not statistically significant (>0.05) , but on the 7th and 14th days after treatment, the DHI scores of the observation group were 20.11±3.95 and 7.89±1.88; VSI scores were 4.15±1.07 and 1.52±0.634, respectively. The duration of residual symptoms was (7.41±2.04) d. In the control group, the DHI scores of the observation group were 23.81±4.34 and 11.08±2.39, respectively. VSI scores were 5.17±1.12 and 3.64±1.50; The duration of residual symptoms was (11.06 ±1.89) d. The observation group was significantly improved compared with the control group, and the differences were statistically significant(<0.05). The Brandt-Daroff training combined with otolith reduction instrument has a significant effect in the treatment of BPPV, which can effectively reduce the clinical symptoms and vertigo disability, reduce residual symptoms after reduction, and improve the quality of life of patients. Therefore, it is worthy of clinical promotion.
观察Brandt-Daroff训练联合耳石复位仪治疗良性阵发性位置性眩晕(BPPV)的效果。将患者随机分为对照组和研究组,分别为54例和56例。对照组患者采用耳石复位及健康教育治疗,而研究组患者采用上述治疗加Brandt-Daroff习服训练。比较两组的治疗效果、前庭症状指数、头晕残疾程度及残余症状持续时间。观察组总有效率为96.3%,对照组为92.5%,差异无统计学意义(>0.05),但治疗后第7天和第14天,观察组的DHI评分为20.11±3.95和7.89±1.88;VSI评分为4.15±1.07和1.52±0.634。残余症状持续时间为(7.41±2.04)天。对照组的DHI评分分别为23.81±4.34和11.08±2.39。VSI评分为5.17±1.12和3.64±1.50;残余症状持续时间为(11.06±1.89)天。观察组与对照组相比有显著改善,差异有统计学意义(<0.05)。Brandt-Daroff训练联合耳石复位仪治疗BPPV效果显著,可有效减轻临床症状和眩晕残疾程度,减少复位后残余症状,提高患者生活质量。因此,值得临床推广。