良性阵发性位置性眩晕残余症状的康复治疗

Rehabilitation of Residual Symptoms of Benign Paroxysmal Positional Vertigo

目的:探讨良性阵发性位置性眩晕(BPPV)残余症状的康复治疗疗效。方法:BPPV患者128例,随机分为对照组和研究组各64例,对照组进行常规治疗,研究组进行综合性康复治疗。比较2组患者治疗有效率、症状持续时间、眩晕障碍量表(DHI)评分、医院焦虑抑郁量表(HADS)评分。结果:与对照组比较,研究组治疗有效率更高(P<0.05),研究组颈部不适、头晕、走路不稳症状持续时间更短(P<0.05);干预前,2组DHI评分差异无统计学意义(P>0.05),干预后,2组DHI评分明显降低,但与对照组比较,研究组DHI评分降低更明显(P<0.05);干预前,2组HADS-T、HADS-A评分差异无统计学意义(P>0.05),干预后,HADS-T、HADS-A评分明显降低,与对照组比较,研究组HADS-T、HADS-A评分降低更明显(P<0.05);与对照组比较,研究组血流动力学指标更低(P<0.05)。结论:对BPPV患者进行综合性康复治疗指导,可改善患者临床症状,提高生活质量,缓解焦虑抑郁情绪,维持正常血流动力学指标。

Objective:To explore effects of rehabilitation of residual symptoms of benign paroxysmal positional vertigo(BPPV).Methods:A total of 128 patients were randomly divided into control group and study group with 64 patients in each.The control group was given routine treatment,and the study group was given comprehensive treatment.The therapeutic efficiency,duration of symptoms,dizziness handicap inventory(DHI),and hospital anxiety depression scale(HADS)of the 2 groups were compared.Results:Compared with the control group,the study group showed a higher effective rate(P<0.05)and a shorter duration of neck discomfort,dizziness,and walking instability(P<0.05).Before intervention,there was no significant difference in DHI scores between the two groups(P>0.05).After intervention,DHI scores in the two groups were significantly decreased,and DHI scores in the study group were more significantly decreased than that of the control group(P<0.05).Before intervention,there was no significant difference in HADS-T and HADS-A scores between the two groups(P>0.05).After intervention,HADS-T and HADS-A scores were significantly decreased in both groups,and the decrease in the study group was more significant(P<0.05).The hemodynamic indexes of the study group were lower compared with those of the control group(P<0.05).Conclusion:Comprehensive treatment for patients with benign paroxysmal positional vertigo can improve clinical symptoms,improve quality of life,relieve anxiety and depression,and maintain normal hemodynamic indexes.