首页|SRM-Ⅳ前庭功能诊疗系统联合倍他司汀治疗良性阵发性位置性眩晕的效果及对血清学指标水平的影响

SRM-Ⅳ前庭功能诊疗系统联合倍他司汀治疗良性阵发性位置性眩晕的效果及对血清学指标水平的影响

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目的 探讨SRM-Ⅳ前庭功能诊疗系统联合倍他司汀治疗良性阵发性位置性眩晕(BPPV)的效果及对血清学指标水平的影响.方法 选择该院 2021 年 11 月—2023 年11月收治的 105 例BPPV患者为研究对象.按随机数字表法将其分为对照组(n=53)与观察组(n=52).对照组采用SRM-Ⅳ前庭功能诊疗系统联合常规药物治疗,观察组采用SRM-Ⅳ前庭功能诊疗系统联合倍他司汀治疗,观察两组患者的眩晕症状评分简化量表(VSS-SF)、Berg平衡量表(BBS)评分、β-淀粉样前体蛋白(β-APP)、微管相关蛋白(Tau)、降钙素基因相关肽(CGRP)水平、眩晕障碍表(DHI)评分及不良反应发生情况.结果 治疗前,两组VSS-SF、BBS评分比较,组间差异无统计学意义(P>0.05);治疗后,观察组VSS-SF评分低于对照组,BBS评分高于对照组,组间差异有统计学意义(P<0.05).治疗前,两组β-APP、Tau、CGRP水平比较,组间差异无统计学意义(P>0.05);治疗后,观察组β-APP、Tau、CGRP水平均低于对照组,组间差异有统计学意义(P<0.05).治疗前,两组DHI评分比较,差异无统计学意义(P>0.05);治疗后,观察组DHI评分低于对照组,差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 联合应用倍他司汀与SRM-Ⅳ前庭功能诊疗系统,可有效改善BPPV患者的眩晕症状,降低脑损伤相关血清学指标水平,促进生活质量的提升,且具有较好的用药安全性.
Effect of SRM-Ⅳ Vestibular Function Diagnosis System Combined with Betasteine in Treating Benign Paroxysmal Positional Vertigo and Its Effect on Serological Index Level
Objective To investigate the effect of SRM-Ⅳ vestibular function treatment system combined with betahistine on benign paroxysmal positional vertigo(BPPV)and its effect on serological index level.Methods 105 BPPV patients admitted to the hospital from November 2021 to November 2023 were selected as the study objects.They were divided into a control group(n=53)and an observation group(n=52)according to random table method.The control group was treated with SRM-Ⅳ vestibular functional diagnosis and treatment system combined with conventional drugs,and the observation group was treated with SRM-Ⅳ vestibular functional diagnosis and treatment system combined with betahistine.The Vertigo Symptom Scale-Shor Form(VSS-SF),Berg Balance Scale(BBS)scores,β-Amyloid Precursor Protein(β-APP),microtubule associated protein(Tau),calcitonin gene-related peptide(CGRP)levels,Dizziness Handicap Inventory(DHI)scores and the occurrence of adverse reactions were observed in two groups.Results Before treatment,there were no significant differences in VSS-SF and BBS scores between the two groups(P>0.05);after treatment,the VSS-SF score of the observation group was lower than that of the control group,and the BBS score was higher than that of the control group,with statistical significance between the two groups(P<0.05).Before treatment,there were no significant differences in β-APP,Tau and CGRP levels between the two groups(P>0.05);after treatment,the levels of β-APP,Tau and CGRP in the observation group were lower than those in the control group,and the differences between groups were statistically significant(P<0.05).Before treatment,there was no significant difference in DHI scores between the two groups(P>0.05);after treatment,the DHI score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination of betahistine and SRM-Ⅳ vestibular function diagnosis and treatment system in BPPV patients can effectively improve the vertigo symptoms,reduce the degree of brain damage,improve the quality of life,and the drug safety is good.

Paroxysmal positional vertigoBetashistineVestibular functionSerological parameters

赵福平

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贵州省金沙县人民医院神经内科,贵州金沙 551800

阵发性位置性眩晕 倍他司汀 前庭功能 血清学指标

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(6)
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