Brandt-Daroff习服训练对良性阵发性位置性眩晕管石复位后残余头晕的疗效
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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.
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
[1]杨继红,赵燕恋,戴志杰.手法复位治疗良性阵发性位置性眩晕[J].现代医学,2014,42(7):771-773.
[2]章燕幸,吴承龙,钟芳芳.DHI量表在老年位置性眩晕复位后残余症状评估中的作用[J].中华全科医学,2014,12(9):1373-1375.
[3]葛利娜,韩丽雅,黄向东,等.倍他司汀治疗良性阵发性位置性眩晕成功手法复位后的残余头晕[J].浙江实用医学,2015,20(5):329-331.
[4]朱祖福,徐静泓,张慧萍,等.Brandt-Daroff习服训练联合手法复位治疗良性阵发性位置性眩晕疗效观察[J].海南医学,2016,27(2):297-298.
[5]中华耳鼻喉头颈外科杂志编辑委员会,中华医学会耳鼻喉科学分会.良性阵发性位置性眩晕的诊断依据和疗效评估(2006年,贵阳)[J].中华耳鼻喉头颈外科杂志,2007,42(3):163-164.
[6]田军茹.眩晕诊治[M].北京:人民卫生出版社,2015:30.
[7]贾庆霞,孙慧,王艳,等.良性阵发性位置性眩晕患者抑郁焦虑状态评估[J].中华临床医师杂志(电子版),2015,9(18):3332-3336.
[8]孔维佳,刘波,冷样名.眩晕疾病的个体化综合治疗[J].临床耳鼻喉头颈外科杂志,2008,22(4):145-150.
[9]时美娟,孟晴,吕哲,等.良性阵发性位置性眩晕发病率及发病机制新进展[J].中华耳科学杂志,2016,14(4):521-525.
[10]GIORGIA G,RUGGERO L,ROBERTO P,et al.Redidual dizziness after successful repositioning maneuver for idiopathic benign paroxysmal positional vertigo:a review[J].Audiol Res,2017,7(178):31-37.
[11]王兆霞,张新江,刘斌,等.良性阵发性位置性眩晕患者残余头晕的危险因素分析[J].中华神经科杂志,2013,46(8):527-530.
[12]章燕幸,吴承龙,肖桂荣,等.良性阵发性位置性眩晕成功复位后残余头晕的研究[J].中华全科医学,2013,11(12):1840-1862.
[13]孙利兵,郑智英,王斌全,等.前庭康复训练对良性阵发性位置性眩晕复位后残余症状的疗效分析[J].临床耳鼻喉头颈外科杂志,2017,31(12):897-905.
[14]曹效平,顾东胜,袁洵易,等.Brandt-Daroff康复练习治疗水平半规管良性阵发性位置性眩晕[J].中华耳科学杂志,2015,13(2):293-296.
[2]章燕幸,吴承龙,钟芳芳.DHI量表在老年位置性眩晕复位后残余症状评估中的作用[J].中华全科医学,2014,12(9):1373-1375.
[3]葛利娜,韩丽雅,黄向东,等.倍他司汀治疗良性阵发性位置性眩晕成功手法复位后的残余头晕[J].浙江实用医学,2015,20(5):329-331.
[4]朱祖福,徐静泓,张慧萍,等.Brandt-Daroff习服训练联合手法复位治疗良性阵发性位置性眩晕疗效观察[J].海南医学,2016,27(2):297-298.
[5]中华耳鼻喉头颈外科杂志编辑委员会,中华医学会耳鼻喉科学分会.良性阵发性位置性眩晕的诊断依据和疗效评估(2006年,贵阳)[J].中华耳鼻喉头颈外科杂志,2007,42(3):163-164.
[6]田军茹.眩晕诊治[M].北京:人民卫生出版社,2015:30.
[7]贾庆霞,孙慧,王艳,等.良性阵发性位置性眩晕患者抑郁焦虑状态评估[J].中华临床医师杂志(电子版),2015,9(18):3332-3336.
[8]孔维佳,刘波,冷样名.眩晕疾病的个体化综合治疗[J].临床耳鼻喉头颈外科杂志,2008,22(4):145-150.
[9]时美娟,孟晴,吕哲,等.良性阵发性位置性眩晕发病率及发病机制新进展[J].中华耳科学杂志,2016,14(4):521-525.
[10]GIORGIA G,RUGGERO L,ROBERTO P,et al.Redidual dizziness after successful repositioning maneuver for idiopathic benign paroxysmal positional vertigo:a review[J].Audiol Res,2017,7(178):31-37.
[11]王兆霞,张新江,刘斌,等.良性阵发性位置性眩晕患者残余头晕的危险因素分析[J].中华神经科杂志,2013,46(8):527-530.
[12]章燕幸,吴承龙,肖桂荣,等.良性阵发性位置性眩晕成功复位后残余头晕的研究[J].中华全科医学,2013,11(12):1840-1862.
[13]孙利兵,郑智英,王斌全,等.前庭康复训练对良性阵发性位置性眩晕复位后残余症状的疗效分析[J].临床耳鼻喉头颈外科杂志,2017,31(12):897-905.
[14]曹效平,顾东胜,袁洵易,等.Brandt-Daroff康复练习治疗水平半规管良性阵发性位置性眩晕[J].中华耳科学杂志,2015,13(2):293-296.