良性阵发性位置性眩晕的临床诊治分析

Diagnosis and treatment of benign paroxysmal positional vertigo

目的评价药物辅助手法复位治疗良性阵发性位置性眩晕的效果。方法收集2009年12月~2012年12月在本院治疗的良性阵发性位置性眩晕患者60例,随机分为观察组与对照组,每组30例,观察组采取口服甲磺酸倍他司汀＋手法复位治疗,对照组采用手法复位治疗,比较两组的临床疗效。结果治疗1 d后,观察组总有效率为83.33%（25/30）,对照组总有效率为80.00%（24/30）,组间差异无统计学意义（P〉0.05）;治疗10 d后,观察组总有效率为96.67%（29/30）,对照组总有效率为73.33%（22/30）,组间差异有统计学意义（P〈0.05）;3个月内观察组复发率为10.34%（3/29）,对照组复发率为68.18%（15/22）,组间差异有统计学意义（P〈0.05）。结论手法复位结合药物治疗良性阵发性位置性眩晕临床效果良好,复发率低,值得推广应用。

Objective To study the effect of medication-assisted manual reduction in the treatment of benign paroxys- mal positional vertigo.Methods 60 cases of patients with benign paroxysmal positional vertigo in our hospital from De- cember 2009 to December 2012 were selected,and were divided into the observation group and the control group,each group of 30 cases,the observation group were received oral betahistine mesilate ＋ manipulative treatment,the control group were received manipulative treatment.The clinical efficacy was compared.Results 1 day after treatment,the total effevtive rate of observation group was 83.33% （25/30）,the control group was 80.00% （24/30）,there was no significant difference between two groups （P〉0.05）; 10 days after treatment,the total effective rate of observation group was 96.67% （29/30）,the control group was 73.33% （22/30）,there was significant difference between two groups （P〈0.05）; Three- month review showed,the recurrence rate of observation group was 10.34% （3/29）,the control group was 68.18% （15/22）, there was significant difference between two groups （P〈0.05）.Conclusion The clinical effect of manual reduction combined with drug treatment for benign paroxysmal positional vertigo is well,has low relapse rate,and is worthy of replication.