手法复位结合中药治疗BPPV的疗效观察

Efficacy Observation of manual reduction combined with traditional Chinese drugs on BPPV

目的探讨手法复位结合中药治疗良性阵发性位置性眩晕的临床应用价值。方法把75名后半规管型BPPV患者自愿选择分为2组,一组为观察组,一组为对照组,并签署知情同意书。治疗组40例,先行手法复位,再配合中药治疗2周,中药的使用根据病人的症状予以辩证施治。对照组35例,仅行单纯手法复位治疗。两组病人均随访6个月,分别于治疗后即刻,2周,1个月,6个月4个时间点作疗效评价。结果观察组治疗后即刻总有效率为90%(36/40),对照组治疗后即刻为91.4%(32/35)。两组比较,差异无统计学意义(P>0.05)。观察组2周和1个月的总有效率分别为92.5%(37/40),和95%(38/40);对照组治疗2周和1个月的总有效率均为74.3%(26/35)。两组比较,差异均具有统计学意义(P<0.05),观察组高于对照组。半年后,观察组复发率为5.26%(2/38),对照组为21.9%(7/32)。两组比较,差异具有统计学意义(P<0.05),其复发率,观察组低于对照组。结论手法复位结合辨证应用中药治疗BPPV,能有效提高临床疗效,减少复发。

Objective To observe the clinical effect of manual reduction combined with traditional Chinese drugs on BPPV.Methods 75 patients with Benign Paroxysmal positional Vertigo were voluntary divided into two groups,40 patients in treatment group were manual reduction combined with traditional Chinese drugs;35patients in control proup were reduction.The control group was treated purely with manual reduction.Respectively at four time points of moment,the 2nd week,1st month and the sixth month after treatment,the effcts were asseseed in patients of both groups;then the patients were followed up for 6 months,and the long-term effect was evaluated.Results At the moment of treatment the total effective rates of treatment group was 91.4%(32/35),the total effective rates of control group was 90%(36/40);compared between two groups,the difference was not staistically significant(P>0.05)At the 2nd week and 1st month after treatment,the total effective rates of treatment group were respectively 92.5%(37/40)and 95%(38/40);Control group all was 74.3%(26/35),compared between two groups,the difference was staistically significant(P<0.05).After 6 months of following up,the recurrence rate of treatment group was 5.26%(2/38),while that of control group was 21.9%(7/32);compared between two groups,the difference was staistically significant(P<0.05).Conclussion Manual reduction combined with traditional Chinese drugs on BPPV has the better clinical effect of long-term and the advantage of lower recurrence rate.