中药药枕及中药定向透药联合Epley耳石复位法治疗后半规管良性阵发性位置性眩晕临床观察

Clinical Value of Applying Traditional Chinese Medicine Pillow and Directional Permeation Combined with Epley Otolith Reduction Method in the Treatment of Patients with Benign Paroxysmal Positional Vertigo

目的:观察中药药枕联合Epley耳石复位法治疗后半规管良性阵发性位置性眩晕(PC-BPPV)的临床价值。方法:选择2016年1月〜2019年4月无锡市中医医院脑病科收治的PC-BPPV患者66例为研究对象,将所选对象按照随机数表法分为对照组,观察组。对照组采用Epley耳石复位法治疗,观察组在对照组的基础上联合中药药枕以及中药定向透药治疗。观察比较两组临床疗效、生活质量、血脂水平变化以及复发率。结果:①观察组治疗后1周以及治疗后1月临床疗效明显高于对照组(P<0.05)。②治疗前两组DHI-P、DHI-E、DHI-F、DHI比较无明显差异(P>0.05),治疗后两组DHI-P、DHI-E、DHI-F、DHI均明显下降,观察组明显低于对照组(P<0.05)。③治疗后随访6个月,观察组复发率明显低于对照组(6.60%vs30.30%)(P<0.05)。结论:在耳石复位治疗的基础上加用中药定向透药以及中药药枕治疗PC-BPPV患者,临床疗效显著,复发率低,可提高患者生活质量。

Objective: To explore the clinical value of applying TCM pillow combined with Epley otolith reduction method in the treatment of patients with benign paroxysmal positional vertigo(PC-BPPV).Methods: From January 2016 to April 2019,66 patients with PC-BPPV admitted to the Encephalopathy Department of Wuxi Hospital of Traditional Chinese Medicine were selected as the study objects.The selected objects were divided into controlled group and observation group according to the random number table method.The controlled group was treated with Epley otolith reduction method, and the observation group was combined with traditional Chinese medicine pillow treatment and Chinese medicine directed drug penetration treatment on the basis of the controlled group.The clinical efficacy, quality of life, changes in blood lipid levels, and recurrence rates were compared between the two groups.Results:①The clinical efficacy of the observation group 1 week after treatment and 1 month after treatment was significantly higher than that of the controlled group(P < 0.05).②There were no significant differences in DHI-P,DHI-E,DHI-F and DHI between the two groups before treatment(P > 0.05).After treatment, DHI-P,DHI-E,DHI-F and DHI were significantly decreased in the two groups.Lower than the controlled group(P < 0.05).③After 6 months of follow-up, the recurrence rate of the observation group was significantly lower than that of the controlled group(6.60% vs 30.30%)(P < 0.05).Conclusion: On the basis of otolith reduction treatment, the application of traditional Chinese medicine directed drug penetration and Chinese medicine medicine pillow in the treatment of PC-BPPV patients, the clinical effect is more significant, the recurrence rate is low, and can improve the quality of life of patients.