定眩清脑汤治疗耳石症残余眩晕的疗效观察

Observation on the Therapeutic Effect of Dingxuan Qingnao Decoction in the Treatment of Residual Dizziness of Benign Paroxysmal Positional Vertigo

目的观察定眩清脑汤对耳石症(良性阵发性位置性眩晕BPPV)患者手法复位后残余眩晕的治疗效果。方法选择BPPV经手法复位成功后出现残余眩晕的患者80例,随机分为治疗组和对照组,对照组不予任何治疗,治疗组予定眩清脑汤治疗,观察两组临床治疗效果。结果治疗组痊愈19例,显效12例,有效7例,无效2例,总有效率95.0%;对照组痊愈16例,显效9例,有效7例,无效8例,总有效率80.0%,组间对比差异有统计学意义(P<0.05)。治疗组中药治疗后眩晕残障评定量表(DHI)评分(10.32±9.72)分;对照组手法复位14天后DHI评分(14.79±11.03)分,组间对比差异有统计学意义(P<0.05)。结论 BPPV经手法复位成功后出现残余眩晕的患者,给予定眩清脑汤治疗,能提高疗效,降低DHI评分,有效改善症状,提高生活质量,值得临床推广使用。

Objective To observe the clinical effect of Dingxuan Qingnao decoction in the treatment of residual dizziness after successful repositioning maneuvers in benign paroxysmal positional vertigo （BPPV）. Methods 82 cases of patients with residual dizziness after successful repositioning maneuvers in BPPV were randomly divided into treatment group and control group. Patients in control group were not given any treatment. Patients in treatment group were treated by Dingxuan Qingnao decoction. Results In the treatment group, 19 cases were cured, 12 cases obviously improved, 7 cases were effective, 2 cases were invalid, and the total effective rate was 95.0% . In the control group, 16 cases were cured, 9 cases obviously improved, 8 cases were effective, 8 cases were invalid, and the total effective rate was 80.0%. The difference had statistical significance （P 〈 0.05）. The dizziness handicap inventory （DHI） scores of the treatment group （10.32（9.72） was lower than （14.79（ 11.03 ） of the control group, and the difference between the two groups was statistically significant （P 〈 0.05 ）. Conclusion Dingxuan Qingnao decoction in treating the patients with residual dizziness after successful repositioning maneuvers in BPPV could improve the curative effect, and reduce DHI scores. It can effectively improve the symptoms and the quality of life, and is worthy of clinical application.