首页|骨振子对良性阵发性位置性眩晕残余症状的疗效评估

骨振子对良性阵发性位置性眩晕残余症状的疗效评估

Mastoid Oscillation for Residual Symptoms after Success Reduction in Benign Paroxysmal Positional Vertigo

扫码查看
目的 探讨骨振子乳突振荡治疗手法复位成功后的良性阵发性位置性眩晕(benign positional paroxys-mal vertigo,BPPV)患者残余症状的疗效.方法 前瞻性选取2022年5月至12月贵州省人民医院听力科门诊确诊为特发性BPPV并成功进行手法复位后有残余症状的93例患者,通过计算机随机分为治疗组47例和对照组46例.治疗组采用骨振子乳突振荡治疗,对照组不予任何治疗.门诊随访1周,采用眩晕障碍量表(dizziness handicap in-ventory,DHI)、前庭症状指数(vestibular symptom index,VSI)评价骨振子乳突振荡治疗手法复位成功后的BPPV患者残余症状的疗效.结果 复位前,对照组和治疗组DHI评分及VSI评分比较,差异无统计学意义(P>0.05);复位后,对照组和治疗组DHI总分、躯体分值、情感分值、功能分值、VSI评分低于复位前,且治疗组明显低于对照组,差异均有统计学意义(P<0.05).结论 复位成功后应用骨振子乳突振荡能进一步改善患者的残余症状,缓解患者恐惧心理,提高生活质量.
Objective To report outcomes of treatment of residual symptoms residual symptoms by mastoid oscil-lation with bone vibrator in patients with benign paroxysmal positional vertigo(BPPV)after successful manual reduc-tion.Methods Patients with idiopathic BPPV and residual symptoms were prospectively selected(n=93)from May to December 2022 in the outpatient clinic,Department of Audiology,Guizhou Provincial People's Hospital,and were ran-domly divided into a treatment group(n=47)and a control group(n=46).The treatment group was subjected to mastoid oscillation with bone vibrators in addition to reduction.At one-week follow-up,residual symptoms were assessed using the Dizziness Handicap Inventory(DHI)and Vestibular Symptom Index(VSI).Results Prior to reduction,DHI and VSI scores were not significantly different between the control and treatment groups(P>0.05),while the total DHI score(DHI-T),P score(DHI-P),E score(DHI-E),F score(DHI-F)and VSI score in both groups improved following reduc-tion(P<0.05),and more so in the treatment group than in the control group(P<0.05).Conclusion Mastoid oscillation with bone vibrator following successful reduction can further improve residual symptoms outcomes,alleviate patients'fear while improving quality of life.

benign paroxysmal positional vertigoresidual symptonsmastoid oscillation

兰莉、杨可婕、黄维、叶清、陶方英、王志鹏、王敏、曹祖威、刘宇清、杨雪、宋洪兰、韩巍

展开 >

贵州省人民医院听力中心(贵阳 550001)

良性阵发性位置性眩晕 残余症状 乳突振荡

贵州省科技厅科技计划合作项目临床专项项目

LC2022037

2024

中华耳科学杂志
解放军总医院耳鼻咽喉科研究所

中华耳科学杂志

CSTPCD北大核心
影响因子:0.954
ISSN:1672-2922
年,卷(期):2024.22(3)