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目的观察Brandt-Daroff习服训练联合手法复位治疗良性阵发性位置性眩晕(BPPV)的临床疗效。方法选取2012年12月至2013年12月我院眩晕专病门诊或神经内科住院BPPV患者共290例,采用随机模块生成器随机分为观察组和对照组各145例,其中观察组采用Brandt-Daroff习服训练联合手法复位组,对照组采用单纯手法复位,观察并比较两组患者治疗后临床疗效、生活质量、残余头晕症状发生率,随访其1年内BPPV复发率。结果观察组治疗后眩晕的总有效率为96.6%,高于对照组的93.1%,差异无统计学意义(P>0.05),治疗后观察组眩晕残障程度评分为(4.80±1.83)分、残余头晕发生率为20.0%、BPPV复发率为6.9%,对照组分别为(8.45±2.30)分、49.7%、20.7%,观察组较对照组明显改善,差异均有统计学意义(P<0.05)。结论采用Brandt-Daroff习服训练联合常规手法复位治疗BPPV,其有效率虽与常规手法复位比较无差异,但其眩晕残障程度、BPPV残留头晕、复发率较单纯手法复位明显降低,值得临床推广。
Objective To observe the clinical efficacy of Brandt-Daroff combined with manual reduction in the treatment of benign paroxysmal positional vertigo (BPPV). Methods A total of 290 BPPV patients were randomly divided into observation group and control group with random module generator in each hospital from December 2012 to December 2013. The patients in observation group were treated with Brandt- Daroff training combined with manual reduction group, the control group were treated by simple means to observe and compare the clinical efficacy, quality of life, the incidence of residual dizziness after treatment in both groups were followed up for 1 year BPPV recurrence rate. Results The total effective rate of dizziness in the observation group was 96.6%, which was higher than that of the control group (93.1%), the difference was not statistically significant (P> 0.05). After treatment, the degree of vertigo disability in the observation group was (4.80 ± 1.83) The incidence of dizziness was 20.0% and the recurrence rate of BPPV was 6.9% in the control group (8.45 ± 2.30), 49.7% and 20.7% respectively. The observation group was significantly better than the control group (P <0.05) . Conclusions The treatment of BPPV by Brandt-Daroff training combined with conventional manual reduction has no difference in the effective rate compared with conventional manual reduction. However, its degree of vertigo disability, residual dizziness and recurrence rate of BPPV are obviously lower than those of simple manual reduction, which is worthy of clinical promotion.