论文部分内容阅读
目的探讨手法复位结合Brandt-Daroff锻炼治疗水平半规管良性阵发性位置性眩晕(HC-BPPV)的疗效。方法首次手法复位无效的HC-BPPV患者76例随机均分为观察组和对照组,两组患者根据HC-BPPV类型给予相应的手法复位,观察组患者在此基础上行Brandt-Daroff练习,观察两组患者治疗1周、2周的临床疗效及不良反应发生情况。结果观察组治疗1周有效率为92.1%,高于对照组的68.4%(P<0.05);观察组治疗2周有效率为94.7%,与对照组的89.5%相仿(P>0.05)。治疗1周后,观察组所需手法复位的次数为(1.45±0.63)次,少于对照组的(1.66±0.90)次(P<0.05);两组治疗2周后所需手法复位次数相仿[(2.43±1.62)次vs.(2.49±1.47)次](P>0.05)。治疗过程中两组患者不良反应发生率差异无统计学意义(P>0.05)。结论对于首次复位无效的HC-BPPV患者,手法复位结合Brandt-Daroff锻炼可提高治疗效果,减少手法复位次数。
Objective To investigate the efficacy of manual reduction combined with Brandt-Daroff exercise in the treatment of benign paroxysmal positional vertigo (HC-BPPV). Methods Sixty-seven patients with unresponsive HC-BPPV were randomly divided into observation group and control group. Patients in both groups were given corresponding reduction according to the type of HC-BPPV. Patients in observation group underwent Brandt-Daroff exercise on the basis of this observation. Group 1 patients for 1 week, 2 weeks of clinical efficacy and adverse reactions. Results The effective rate of the observation group was 92.1% at 1 week, which was higher than that of the control group (68.4%, P <0.05). The effective rate of the observation group was 94.7% at 2 weeks, which was similar to that of the control group (89.5%) (P> 0.05). After 1 week of treatment, the number of manual reduction required by the observation group was (1.45 ± 0.63) times less than that of the control group (1.66 ± 0.90) (P <0.05) [(2.43 ± 1.62) times vs. (2.49 ± 1.47) times] (P> 0.05). There was no significant difference in the incidence of adverse reactions between the two groups during treatment (P> 0.05). Conclusions For patients with HC-BPPV who are ineffective for the first time, manual reduction combined with Brandt-Daroff exercise can improve the therapeutic effect and reduce the number of manual reduction.