手法复位联合药物治疗良性阵发性位置性眩晕患者的临床疗效分析

Manual Reduction Combined Medication BPP the Patient's Clinical Curative Effect Analysis

目的：探究药物联合手法复位治疗各类型良性阵发性位置性眩晕（耳石症）患者的临床疗效分析。方法选取我院2013年9月1日至2015年8月31日收治的耳石症患者共774例，按照入院时间顺序随机分为药物组（N=385）与联合组（N=389），药物组单纯接受耳石症药物治疗，包括倍他司汀、西比灵胶囊及银杏叶制剂等改善微循环药物。联合组在药物治疗基础上实施Epley与Barbecue手法复位。比较两组患者治疗1周、1个月临床效果，不良反应发生率及复发率。结果联合组治疗后1周、1个月随访发现有效率为93.2%与93.7%，明显高于药物组87.3%与82.9%，差异有统计学意义（P<0.05）。联合组1个月内不良反应发生率为4.6%，明显低于药物组10.0%，差异有统计学意义（P<0.05）。联合组治疗后1个月耳石症复发率为8.4%，明显低于药物组复发率17.6%，差异有统计学意义（P<0.05）。结论根据不同类型的耳石症采用药物联合手法复位有较好的临床疗效，不良反应较少，安全有效，值得临床推广使用。

Objective To analyze the clinical curative effect of drugs combined with manipulative reduction for the treatment of various types of otolith in patients with benign paroxysmal positional vertigo.Methods A total of 774 cases with otolith positional vertigo patients in our hospital from September 1,2013 to August 31,2015 were selected,all patients were randomly divided into drug group(N=385)and combined group(N=389)according to the order of admission.The drug group only received drug treatment of otolith disorders,including betahistine,Sibeline capsule and microcirculation drugs,the combination group was performed Epley and Barbecue manipulative reduction on the basis of drug treatment.The clinical effect of two groups of patients for 1 weeks,1 months and the incidence of adverse reactions and recurrence rate were compared.Results 1 weeks,1 months after treatment,the combina-tion group’s effective rate was 93.2%and 93.7%,significantly higher than the drug group 87.3%and 82.9%,the difference was sta-tistically significant,P<0.05.The combined treatment group otolith disease recurrence rate was 8.4% after 1 month,significantly low-er than the drug group’s recurrence rate was 17.6%,the difference is statistically significant (P<0.05).Conclusion According to the different types of otolith disorders using drugs combined with manipulative reduction has better clinical efficacy and less adverse reaction.It is safe and effective,worthy of clinical use.