半夏白术天麻汤联合手法复位治疗对良性阵发性位置性眩晕的影响

Effect of Banxia Baizhu Tianma Tang Combined with Manual Reduction for Benign Paroxysmal Positional Vertigo

目的:观察中药半夏白术天麻汤联合手法复位治疗对良性阵发性位置性眩晕(BPPV)的疗效。方法:将62例BPPV患者分为对照组与观察组各31例。对照组用手法复位治疗,观察组在手法复位的基础上联合半夏白术天麻汤治疗。2组分别在治疗前后评定眩晕障碍量表(DHI)、血脂指标,治疗后统计临床疗效与治疗后6个月的复发率。结果:治疗前,2组DHI得分比较,差异无统计学意义(P>0.05);治疗后,2组均较前下降,观察组各项得分更低(P<0.05)。治疗前,血脂各项指标比较,差异无统计学意义(P>0.05);治疗后,2组均较前改善,观察组更优(P<0.05)。与对照组比较,观察组总有效率与复发率均更优(P<0.05)。结论:与传统手法复位单独治疗相比,采用半夏白术天麻汤联合手法复位治疗BPPV,可显著改善眩晕障碍、调节血脂表达水平,并在增加总体疗效和降低复发率方面具有明显优势。

Objective:To observe the curative effect of Banxia Baizhu Tianma tang combined with manual reduction for benign paroxysmal positional vertigo(BPPV).Methods:A total of 62 cases of BPPV cases were divided into the control group and the observation group,31 cases in each group.The control group was treated with manual reduction,and the observation group was additionally given Banxia Baizhu Tianma tang based on the treatment of the control group.Before and after treatment respectively,the Dizziness Handicap Inventory(DHI)and blood lipid levels in the two groups were evaluated.The clinical effect after treatment and the recurrence rate at six months after treatment were assessed.Results:Before treatment,there was no significant difference being found in the DHI scores between the two groups(P>0.05).After treatment,the scores in the two groups were decreased when compared with those before treatment,and the scores in the observation group were lower(P<0.05).Before treatment,there was no significant difference being found in the blood lipid levels between the two groups(P>0.05).After treatment,the levels in the two groups were improved when compared with those before treatment,and the improvement in the observation group was better(P<0.05).The total effective rate and the recurrence rate in the observation group were better than those in the control group(P<0.05).Conclusion:Compared with the single treatment of traditional manual reduction,the therapy of Banxia Baizhu Tianma tang combined with manual reduction for BPPV can significantly improve vertigo,regulate the expression levels of blood lipid and have obvious advantages in increasing total curative effect and reducing recurrence rate.