良性阵发性位置性眩晕手法复位患者残余症状的前庭康复训练

目的探讨前庭康复训练对良性阵发性位置性眩晕(BPPV)手法复位患者残余症状的影响。方法将90例手法复位治疗后有残余症状的BPPV患者随机分为三组,分别接受前庭康复训练(前庭康复组,n=29)、口服甲磺酸倍他司汀(药物组,n=30)及联合前庭康复训练及药物治疗(联合组,n=31),干预6周。于入组时及干预2、4、6周末进行眩晕残障程度评定量表(DHI)评分。结果干预后前庭康复组与药物组DHI评分比较,差异无统计学意义(P0.05);联合组DHI评分与另外两组比较,差异有统计学意义(均P0.01)。结论前庭康复训练与甲磺酸倍他司汀对BPPV手法复位后伴残余症状患者治疗效果相当,两种方法联合可进一步提高治疗效果。

Efficacy of vestibular rehabilitation training on residual symptoms after canalith repositioning procedure for benign paroxysmal positional vertigo

Objective To investigate the efficacy of vestibular rehabilitation training on residual symptoms after canalith repositioning procedure for benign paroxysmal positional vertigo (BPPV).Methods A total of 90 patients with residual symptoms after canalith repositioning procedure for BPPV were randomized into three groups,receiving either vestibular rehabilitation training,betahistine mesylate oral treatment,or vestibular rehabilitation training with betahistine mesylate.The intervention lasted 6 weeks and the Dizziness Handicap Inventory (DHI) was used to measure the effect before and 2,4,6 weeks after the intervention.Results There was no significant difference in DHI score between the training group and drug group (P＞0.05),but significant difference was found between the combination group and the other two groups (P＜0.01 for both).Conclusion Vestibular rehabilitation training is as effective as betahistine mesylate to treat residual symptoms after canalith repositioning procedure for BPPV,and combining the two treatments can further improve clinical efficacy.