The effect of combination of Brandt-Daroff training and otolith reposition instrument pair in benign paroxysmal positional vertigo
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摘要: 目的 探讨Brandt-Daroff习服训练联合耳石复位仪对良性阵发性位置性眩晕(BPPV) 的应用效果。 方法 选取进行耳石复位仪治疗的BPPV患者110例, 随机分为对照组54例, 观察组56例。对照组采用常规治疗及宣教; 观察组在对照组的基础上, 进行Brandt-Daroff习服训练。比较两组治疗有效率、前庭症状指数(VSI)、眩晕残障程度评分量表(DHI) 及残余症状持续时间。 结果 观察组治疗总有效率为96.3%, 对照组为92.5 %, 2组比较差异无统计学意义(P>0.05)。但治疗后第7天和第14天, 观察组DHI评分分别为20.11 ±3.95、7.89 ±1.88;VSI评分分别为4.15 ±1.07、1.52±0.634; 残余症状持续时间为(7.41 ±2.04)d; 对照组DHI评分分别为23.81 ±4.34、11.08±2.39;VSI评分分别为5.17±1.12、3.64±1.50; 残余症状持续时间为(11.06 ±1.89)d。观察组较对照组明显改善, 差异均有统计学意义(P<0.05)。 结论 Brandt-Daroff习服训练联合耳石复位仪治疗BPPV效果显著, 能有效减轻临床症状及眩晕残障程度, 且有助于减轻复位后残余症状, 改善患者生活质量, 值得临床推广。
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关键词:
- 良性阵发性位置性眩晕 /
- Brandt-Daroff习服训练 /
- 耳石复位仪
Abstract: Objective To observe the effect of Brandt-Daroff training combined with otolith reduction instrument in the treatment of benign paroxysmal positional vertigo(BPPV). Methods The patients were randomly divided into control group and study group, with 54 cases and 56 cases, respectively. The patients in control group were treated with otolith reposition and health education, while those in study group were treated with aforementioned treatment plus Brandt-Daroff acclimatization training. Effectiveness, vestibular symptoms index, dizziness disability degree and the duration of residual symptoms were compared between two groups. Results The total efficiency rate was 96.3% in the observation group and 92.5% in the control group, and the difference was not statistically significant (P>0.05), but on the 7th and 14th days after treatment, the DHI scores of the observation group were 20.11±3.95 and 7.89±1.88; VSI scores were 4.15±1.07 and 1.52±0.634, respectively. The duration of residual symptoms was (7.41±2.04) d. In the control group, the DHI scores of the observation group were 23.81±4.34 and 11.08±2.39, respectively. VSI scores were 5.17±1.12 and 3.64±1.50; The duration of residual symptoms was (11.06 ±1.89) d. The observation group was significantly improved compared with the control group, and the differences were statistically significant(P<0.05). Conclusion The Brandt-Daroff training combined with otolith reduction instrument has a significant effect in the treatment of BPPV, which can effectively reduce the clinical symptoms and vertigo disability, reduce residual symptoms after reduction, and improve the quality of life of patients. Therefore, it is worthy of clinical promotion. -
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表 1 两组治疗前后VSI评分比较
x±s 治疗前 第7天 第14天 F P 对照组 8.865±1.010 5.173±1.115 3.635±1.495 F时间=1250.265 <0.001 观察组 8.685±1.113 4.148±1.071 1.519±0.637 F分组=41.080 <0.001 t 0.760 23.291 91.019 F时间*分组=39.646 <0.001 P 0.385 <0.001 <0.001 
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表 2 两组治疗前后DHI评分比较
x±s 治疗前 第7天 第14天 F P 对照组 45.673±5.752 23.808±4.343 11.077±2.392 F时间=4342.546 <0.001 观察组 46.926±5.888 20.111±3.951 7.889±1.880 F分组=7.256 0.008 t 1.227 21.039 58.454 F时间*分组=22.954 <0.001 P 0.271 <0.001 <0.001
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