前庭康复对老年良性阵发性位置性眩晕患者后遗头晕的疗效

Effect of vestibular rehabilitation on residual dizziness in elderly patients with benign paroxysmal positional vertigo

目的探讨前庭康复训练对老年良性阵发性位置性眩晕(BPPV)患者后遗头晕的疗效。方法选择BPPV患者耳石成功复位治疗眼震消失3 d仍后遗头晕患者86例,按照随机表法分为观察组43例与对照组43例。对照组采用甲磺酸倍他司汀治疗,观察组在对照组基础上结合前庭康复训练,两组疗程均为7 d。比较两组治疗疗效、治疗前后BBS评分、VSI评分及DHI量表评分。结果观察组总有效率(95.35%)高于对照组(72.09%)(P<0.05)。观察组治疗前BBS评分为7.39±1.24,治疗后为49.81±4.56;对照组治疗前BBS评分为7.61±1.27,治疗后为39.62±3.21,观察组治疗后高于对照组(P<0.05)。观察组治疗前VSI评分为32.78±2.41,治疗后为24.87±3.28;对照组治疗前VSI评分为32.54±2.39,治疗后为28.46±2.80,观察组治疗后低于对照组(P<0.05)。观察组治疗前DHI量表总分为76.44±6.57,治疗后为30.81±3.24;对照组治疗前DHI量表总分为76.36±5.82,治疗后为42.36±4.67,观察组治疗后低于对照组(P<0.05)。结论前庭康复训练对老年BPPV患者后遗头晕疗效显著。

Objective To examine the therapeutic effect of vestibular rehabilitation on residual dizziness after successful canalith re-positioning maneuvers in elderly patients with benign paroxysmal positional vertigo (BPPV). Methods Between January 2015 and December 2017, we treated 86 patients with nystagmus that resolved within 3 days after successful canalith repositioning maneuvers and 86 patients with residual dizziness after treatment. Using a random table method, patients with residual dizziness were divided into 43 cases in an observation group and 43 in a control group. Both groups were treated with dioxetine mesylate, and the observa- tion group also received vestibular rehabilitation training. Both groups were treated for 7 days. The curative effect was compared, using The Berg Balance Scale (BBS) score, the Vestibular Symptom Index (VSI) score, and the Dizziness Handicap Inventory (DHI) score. Results The efficacy rate in the observation group (95.35%) was higher than that in the control group (72.09%) (P<0.05). The BBS score in the observation group before treatment was 7.39±1.24 and increased to 49.81 ±4.56 after treatment. The BBS score in the control group before treatment was 7.61 ±1.27 and increased to 39.62±3.21 after treatment. The score in thecontrol group was higher than that in the control group (P<0.05). The VSI score in the observation group before treatment was32.78±2.41 and decreased to 24.87±3.28 after treatment. The VSI score in the control group before treatment was 32.54±2.39 and decreased to 28.46±2.80 after treatment. The score in the control group was lower than that in the control group (P<0.05). The DHI score in the observation group before treatment was 76.44±6.57 and decreased to 30.81 ±3.24 after treatment. The DHI score in the control group before treatment was 76.36±5.82 and decreased to 42.36±4.67 after treatment. The score in the control group was low-er than that in the control group (P<0.05). Conclusion Vestibular rehabilitation is effective for residual dizziness in elderly pa-tients with BPPV.