耳石复位联合药物治疗良性阵发性位置性眩晕

目的 观察耳石复位联合药物治疗良性阵发性位置性眩晕( BPPV)的疗效.方法 40例BPPV患者随机分为两组,对照组20例应用西药及中药治疗,治疗组20例在应用西药及中药的同时结合耳石复位法治疗.治疗7d后进行疗效评定,3个月后电话随诊,观察复发情况.结果 治疗组痊愈率90％,总有效率100％,均高于对照组的50％、95％(x2=6.483、4.326,均P＜0.001)；经电话随诊治疗组20例3个月内未复发,对照组有1例复发,予耳石复位法配合药物治疗后症状好转.结论 耳石复位法治疗BPPV有效、简便、安全,可作为BPPV首选治疗方法,配合中西药物综合治疗可明显缓解患者症状,减少复发.

Therapeutic effect canalith repositioning maneuver combined with Chinese and western medicine of treating benign paroxysmal positional vertigo

Objective To observe the therapeutic effect and recurrence of treating Benign Paroxysmal Positional Vertigo(BPPV) by the treatment that combined Canalith Repositioning Maneuver(CRM) with Chinese and Western medicine.Methods Collecting 40 cases suffered from BPPV,and randomized controlled method was used.Control group:20 cases( using Western and Chinese medicine),treatment group:20cases( using Western and Chinese medicine wrbined with CRM),judge the effect after 7days and telephone followed up 3 months,inquiring about recurrence situation.Results Cure rate of treatment group was 90％,total effective rate was 100％ which was higher than the control group which was 50％,the total effective rate was 95％ (P ＜0.001 ) ;20 cases in treatment group followed up by telephone didn't recur.1 case in control group recurred,but got better after the treatment of CRM.Conclusion CRM which was effective,safe,simple and convenient to treat BPPV could be used as the preferred treatment for BPPV,if combined with Chinese and western medicine,it could significantly alleviate the symptoms and reduce the relapse.