首页|托吡酯联合甲磺酸倍他司汀对周围性眩晕患者的作用效果

托吡酯联合甲磺酸倍他司汀对周围性眩晕患者的作用效果

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目的 探究托吡酯联合甲磺酸倍他司汀对周围性眩晕患者的作用效果.方法 选取80例周围性眩晕患者随机分为对照组(40例,接受甲磺酸倍他司汀治疗)和研究组(40例,接受甲磺酸倍他司汀及托吡酯治疗).比较两组临床疗效、症状(眩晕、恶心呕吐)缓解时间,比较两组治疗前后焦虑指数、抑郁指数、血清S100B蛋白(S100B)、髓鞘间隙蛋白(MBP)、脑源性神经营养因子(BDNF)水平及不良反应发生率.结果 治疗后,研究组临床有效率高于对照组,症状缓解时间短于对照组,焦虑指数、抑郁指数及血清S100B、MBP水平低于对照组,血清BDNF水平高于对照组(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 周围性眩晕患者接受托吡酯联合甲磺酸倍他司汀治疗,可效缓解临床症状,减轻焦虑、抑郁情绪,安全性高.
Effects of Topiramate Combined with Betahistine Mesylate in Patients with Peripheral Vertigo
Objective To explore the effects of topiramate combined with betahistine mesylate in patients with peripheral vertigo.Methods Eighty patients with peripheral vertigo were selected and randomly divided into control group(40 cases,treated with betahistine mesylate)and study group(40 cases,treated with betahistine mesylate and topiramate).The clinical efficacy,relief time of symptoms(vertigo,nausea and vomiting),anxiety and depression index,serum S100B protein(S100B),myelin space protein(MBP),brain-derived neurotrophic factor(BDNF)levels before and after treatment,and the incidence of adverse reactions were compared.Results Compared with the control group,the clinical effective rate was higher,the symptom relief time was shorter,the index of anxiety,depression,and the S100B,MBP levels were lower and the BDNF level was higher in the study group(P<0.05).There was no statistically difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Topiramate combined with betahistine mesylate in the treatment of patients with peripheral vertigo can effectively relieve clinical symptoms,reduce anxiety and depression,and has high safety.

topiramatebetahistine mesylateperipheral vertigoanxietydepression

李晓、鲁保才

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新乡医学院第一附属医院耳鼻咽喉科,河南新乡 453100

托吡酯 甲磺酸倍他司汀 周围性眩晕 焦虑 抑郁

河南省医学科技攻关计划

202102310425

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(4)
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