改良Epley复位法联合倍他司丁治疗良性阵发性位置性眩晕

Modified Epley maneuver associated with betahistine for treating benign paroxysmal positional vertigo

目的:探讨改良Epley复位法联合倍他司汀治疗后半规管性良性阵发性位置性眩晕(posterior semicircular canal benign paroxysmal positional vertigo,PC-BPPV)的疗效。方法:单侧PC-BPPV患者88例,随机分为治疗组42例、对照组46例。治疗组使用改良Epley复位法,在此基础上加服倍他司汀,每次6 mg,每日3次,连续服用1个月。对照组在就诊当日视患者耐受程度及病情缓解情况给予改良Epley手法复位1次。结果:1个月后评价两组疗效,治疗组较对照组相比,有效率明显改善,P<0.05。结论:手法复位联合倍他司丁治疗BPPV有相互补充的作用,效果好,值得推广应用。

Objective：To evaluate the efficacy of modified Epley maneuver associated with betahistine to treat posterior semicircular canal benign paroxysmal positional vertigo（PC-BPPV）.Methods：88 cases of unilateral PC-BPPV were divided into therapy group（42 cases） and control group（46 cases） randomly.The therapy group was treated by modified Epley maneuver associated with betahistine 6mg per time,3 times daily for successive 1 month.The control group was treated by modified Epley maneuver once on the day of visiting clinic according to the disease condition.Results：After 1-month treatment,the effective rate of therapy group was significantly improved as compared with control group（P0.05）.Conclusion：The modified Epley maneuver associated with betahistine is effective to treat PC-BPPV,which is worth being promoted.