摘要
目的:观察Brandt-Daroff习服训练对良性阵发性位置性眩晕(BPPV)成功复位后残余头晕及生活质量的影响。方法:将48例BPPV成功手法复位后发生残余头晕的患者随机分为常规内科治疗组(对照组)和Brandt-Daroff习服训练组(治疗组),治疗前后评估眩晕残障量表(DHI)、前庭症状指数(VSI)。结果:治疗前两组基线资料、DHI总分及各子项评分、VSI评分差异均无统计学意义(P>0.05)。治疗后第7天和第14天,治疗组DHI总分及各子项评分均低于对照组,差异有统计学意义(P<0.05);治疗组VSI低于对照组,差异有统计学意义(P<0.05)。结论:Brandt-Daroff习服训练有助于减轻BPPV成功复位后残余头晕症状,改善患者的生活质量,可作为BPPV复位后残余头晕的辅助治疗。
Objective: To observe the effect of Brandt-Daroff exercise on residual dizziness( RD) and quality of life( QOL) after successful canalith repositioning maneuvers( CRPs) in patients with benign paroxysmal positional vertigo( BPPV). Methods: Forty-eight patients with RD after successful CRPs were divided into two groups,control group treated with routine medical therapy and treatment group with Brandt-Daroff execise. Before and after treatment,dizziness handicap inventory( DHI) and vestibular symptom index( VSI) were evaluated. Results: No significant difference existed in baseline information,scores DHI and DHI items and VSI in each group before treatment( P < 0. 05). Seven days and fourteen days after treatment,scores DHI and DHI items and VSI in treatment group were lower than those of control group( P < 0. 05). Conclusion: Brandt-Daroff execise could effectively ameliorate RD symptom and improve QOL in BPPV patients with RD after successful CRPs,and could be a adjunctive therapy.
引文
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