心理干预联合手法复位对老年人良性阵发性位置性眩晕的疗效分析

王霞; 田彦静; 单静

doi:10.13201/j.issn.1001-1781.2018.04.006

心理干预联合手法复位对老年人良性阵发性位置性眩晕的疗效分析

- 1. 河北医科大学附属衡水人民医院耳鼻咽喉科(河北衡水, 053000);
- 2. 河北医科大学附属衡水人民医院心理科

详细信息

通讯作者: 王霞,E-mail:w751102@139.com

中图分类号: R764.3

收稿日期: 2017-12-19

Therapeutic effects of psychological intervention combined with manual reduction on benign paroxysmal positional vertigo in the elderly

- 1. Department of Otolaryngology, Hengshui People's Hospital Affiliated to Hebei Medical University, Hengshui, 053000, China;
- 2. Department of Psychology, Hengshui People's Hospital Affiliated to Hebei Medical University

More Information

Corresponding author: WANG Xia, E-mail: w751102@139.com

Received Date: 19 December 2017

摘要

摘要: 目的：探讨老年良性阵发性位置性眩晕（BPPV）患者最佳治疗方案。方法：将68例60~85岁的BPPV患者随机分为两组，对照组采取单纯手法复位，研究组采取手法复位联合心理干预治疗，并对其疗效进行比较分析。结果：对照组与研究组治愈率分别为44.4%和43.8%，差异无统计学意义（P>0.05）；有效率分别为52.78%和87.50%，差异有统计学意义（P<0.05）。对照组与研究组复位治疗后2周的复发率分别为8.3%和3.1%，差异无统计学意义（P>0.05）；3个月的复发率分别为5.6%和0，差异无统计学意义（P>0.05）。两组患者治疗后的SAS、SDS差异有统计学意义（P<0.05）。两组患者残余症状对比，首次随访的DHI分值差异无统计学意义（P>0.05），1周、4周的DHI分值差异有统计学意义（P<0.05），研究组患者复位后的残余症状较对照组减轻；研究组内60~70岁组和71~85岁组首次、1周、4周后的DHI分值差异均有统计学意义（P<0.05），60~70岁组的残留症状较71~85岁组减轻。结论：老年人是焦虑抑郁的易感人群，手法复位联合心理干预可以很好地促进疗效，但应制定个性化治疗方案。
- 眩晕 /
- 老年人 /
- 心理干预
Abstract: Objective: To explore the best treatment for elderly patients with benign paroxysmal positional vertigo (BPPV).Method: Sixty-eight BPPV patients aged 60-85 years were randomly divided into two groups. The control group was treated by simple manipulation. The study group was treated by manual reduction combined with psychological intervention. The curative effect was compared.Result: The cure rates of the control group and the study group were 44.4% and 43.8% respectively, with no significant difference (P>0.05); the effective rates were 52.78% and 87.50% respectively, with significant difference (P<0.05). The recurrence rates of control group and study group were 8.3% and 3.1% after 2 weeks of treatment, respectively, with no significant difference (P>0.05). The recurrence rates at 3 months were 5.6% and 0 respectively, with no significant difference (P>0.05). The difference of SAS and SDS between the two groups after treatment was statistically significant (P<0.05). There was no significant difference in the residual symptoms between the two groups at the first follow-up (P>0.05), and at 1 week and 4 weeks (P<0.05). The residual symptoms of the patients after reoperation were relieved compared with those of the control group. The DHI scores of the study group between 60-70 years old and 71-85 years old group for the first time, after 1 week and 4 weeks were statistically significant (P<0.05), and the residual symptoms in the 60-70 years group were reduced compare to the 71-85-year-old group.Conclusion: Elderly people with BPPV are susceptible to anxiety and depression. Manipulation combined with psychological intervention can promote the curative effect well, but personalized treatment plan should be developed.
- vertigo /
- aged /
- psychological intervention

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