改良Semont手法复位联合甲磺酸倍他司汀治疗后半规管良性阵发性位置性眩晕的疗效分析

Analysis of therapeutic effect after modified semont method combined with betahistine mesylate for treatment of posterior semicircular canal benign paroxysmal positional vertigo

目的研究改良Semont方法联合倍他司汀药物治疗后半规管良性阵发性位置性眩晕(posterior semicircular canal benign paroxysmal positional vertigo,PSC-BPPV)的临床疗效。方法收集2015年10月~2017年11月期间就诊于耳鼻咽喉科门诊的120例患者,均经过Dix-Hallpike及Roll诱发试验确诊为单侧后半规管管石症,采取抽签随机分组原则分为治疗组和对照组,治疗组60例,应用改良Semont方法治疗联合倍他司汀药物治疗,对照组60例,单纯给予经典Semont方法治疗。结果首次有效率的比较,治疗组为78.33%,对照组为68.33%,治疗组的疗效明显的优于对照组(P<0.05);1个疗程之内总有效率比较,治疗组明显优于对照组(P<0.05)2个月后随访患者复发率的比较,治疗组复发率也优于对照组(P<0.05)。结论改良Semont法联合甲磺酸倍他司汀综合治疗治疗后半规管良性阵发性位置性眩晕临床效果明显。

Objective To study the clinical efficacy of posterior semicircular canal benign paroxysmal positional vertigo（PSC.BPPV）after modified Semont method combined with betahistine drug therapy. Method A total of 120 patients who were admitted to the Otorhinolaryngology Clinic between October 2015 and November 2017 were collected. All of them were diagnosed as unilateral posterior semicircular canal stone disease by Dix-Hallpike and Roll induced test. Patients were randomly divided into treatment group and control group of 60 cases respectively. We used modified Semont method combined with betahistine drug to treat treatment group and simply classical Semont method to treat control group. Result The first effective rate of treatment group and control group were 78.33% and 68.33% respectively. 78.33%,the control group was 68.33%. The effective rate of treatment group was significantly higher than it of the control group（P〈0.05）;The total effective rate of treatment group was higher than control group after a course of treatment（P〈0.05）;The recurrence rate of the treatment group was significantly lower than that of control group after two months＇ follow-up（P〈0.05）. Conclusion The clinical efficacy of PSC.BPPV after modified Semont method combined with betahistine mesylate is obvious.