摘要
目的比较单独药物和耳石颗粒复位联合前庭康复训练联合药物对65岁以上良性阵发性位置性眩晕(BPPV)患者的临床疗效。方法 136例患者随机分为药物组和联合治疗组。两组均给予药物治疗:敏使朗(12mg/d,3次/d)和金纳多(80mg/d,2次/d),口服,连续4周。联合组还给予耳石复位治疗和前庭康复训练(颈部保健操和手眼协调训练)。开始治疗后1个月和3个月门诊随访,每次随访评估其疗效。结果联合治疗组治疗周期明显缩短,临床缓解更早出现。治疗后两个随访时间点,联合治疗组的临床治愈率高于单纯药物治疗组。结论药物联合耳石手法复位和前庭康复训练治疗老年人BPPV见效快,疗效显著,复发少。
Objective To compare the clinical efficacy of drugs alone with otolith particle repositioning and vestibular rehabilitation training and drugs on BPPV patients over 65 years. Methods 136 patients were randomly divided into drugs group and combined treatment group. The two groups all were given drug（ Betahistine, 12 mg/d, rid and Ginaton, 80 mg/d, bid）orally, consecutive 4W. The combined treatment group were also given canalith repositioning therapy and vestibular rehabilitation training （neck exercises and hand eye coordination training）. All patients were followed up at lm and 3m after the start of treatment and clinical efficacy was evaluated. Results The period was shortened obviously and clinical symptoms began to ease earlier in combined treatment group. In combined treatment group clinical cure rate was significantly higher than that of single drug treatment group at two follow-up time point. Conclusion The combination treatment for elderly BPPV patients of otolith particle repositioning and vestibular rehabilitation training and drugs takes effect more quickly, relieves more obviously, and relapses less.
出处
《四川医学》
CAS
2014年第10期1317-1319,共3页
Sichuan Medical Journal
关键词
良性阵发性位置性眩晕
耳石颗粒复位
前庭康复
老年人
疗效
benign paroxysmal positional vertigo
otolith particle repositioning
vestibular rehabilitation
elderly
curative effect
