良性陣發(fā)性位置性眩暈手法復(fù)位聯(lián)合藥物治療120例臨床分析

盛習(xí)華

[摘要] 目的 探討研究手法復(fù)位聯(lián)合藥物治療良性陣發(fā)性位置性眩暈的臨床治療效果。 方法隨機(jī)抽取 2013年1月—2014年12月該院收治120例良性陣發(fā)性位置性眩暈患者，將他們隨機(jī)分成研究組和對照組，每組60例，研究組使用手法復(fù)位聯(lián)合藥物治療，對照組使用手法復(fù)位治療。使用統(tǒng)計(jì)學(xué)軟件SPSS20.0對數(shù)據(jù)進(jìn)行分析，比較兩組患者治療的療效。結(jié)果 與對照組的治療效果比較，研究組治愈率和總有療效率相差不大，差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。結(jié)論 手法復(fù)位聯(lián)合藥物治療和單純使用手法復(fù)位治療良性陣發(fā)性位置性眩暈的療效相差無幾，特殊良性陣發(fā)性位置性眩暈患者的臨床治療應(yīng)首選手法復(fù)位聯(lián)合藥物治療。

[關(guān)鍵詞] 良性陣發(fā)性位置眩暈；手法復(fù)位；藥物治療；半規(guī)管

[中圖分類號] R764 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-0742（2015）04（c）-0065-02

[Abstract] Objective To investigate the therapeutic effect of manipulative reduction combined with drug therapy on benign paroxysmal positional vertigo. Methods 120 cases of benign paroxysmal positional vertigo patients from January 2013 to December 2014 were treated . They were divided into study group and control group， each group had 60 patients. The patients in study group were treated by manipulative reduction combined with drug therapy while the control group were just therapied with manipulative reduction. We used SPSS20.0 of statistical software to analyze the dates， compare the efficacy of the two different methods of treatment. Results Compared with the treatment of control group ， cure rate and the total efficacy rate of study group had little difference， the differences between the two groups were not statistically significant（P>0.05）. Conclusion The therapeutic effect of manipulative reduction with or without anti-vertigo drugs on benign paroxysmal positional vertigo does not differ much from each other， it should be the first choice for those special patient as a clinical treatment.

[Key words] Benign Paroxysmal Positional Vertigo； Manipulative Reduction； Drug Therapy； Semicircular canal

良性陣發(fā)性位置性眩暈是由于頭部的運(yùn)動(dòng)或者身體姿勢的改變而誘發(fā)的短暫性眩暈。目前其發(fā)病機(jī)制尚未完全闡明，較為流行的是Epley于1980年提出的半規(guī)管耳石癥，認(rèn)為耳石從橢圓囊中脫落后進(jìn)入半規(guī)管，當(dāng)頭改變位置時(shí)，耳石便在半規(guī)管帶動(dòng)內(nèi)淋巴一起移動(dòng)，引起該半規(guī)管壺腹部位的毛細(xì)胞位置及放電頻率的改變，最終導(dǎo)致良性陣發(fā)性位置性眩暈[1]。臨床上治療良性陣發(fā)性位置性眩暈的主要方法是各種耳石復(fù)位療法[2]，該研究隨機(jī)選取該院2013年1月—2014年12月間良性陣發(fā)性位置性眩暈患者120例為研究對象，采用手法復(fù)位聯(lián)合藥物治療的辦法取得了不錯(cuò)的療效，具體研究報(bào)告如下。