改良Epley法联合诱发体位训练法在后半规管良性阵发性位置性眩晕的疗效比较

发布时间：2018-06-04 07:15

本文选题：后半规管良性阵发性位置性眩晕 + 改良Epley法　；参考：《中华临床医师杂志(电子版)》2016年16期

【摘要】：目的探讨改良手法复位与诱发体位训练法对良性发作性位置眩晕的疗效,为后半规管良性阵发性位置性眩晕的治疗提供依据。方法选取2014年8月至2015年11月本院门诊及住院部接受治疗的后半规管BPPV患者共188例进行随机分组,分别给予改良Epley手法治疗、改良Epley手法+诱发体位训练法治疗。结果治疗3个月后改良Epley手法+诱发体位训练法组总有效率95.74%(90例),高于改良Epley组的总有效率86.17%(81例),两组差异具有统计学意义(P0.05);改良Epley手法+诱发体位训练法复发率及复发≥3次发生率均比改良Epley组低(P0.05)。结论改良Epley手法+诱发体位训练法治疗后半规管良性阵发性位置性眩晕效果良好。
[Abstract]:Objective to investigate the effect of modified manipulative reduction and postural training on benign paroxysmal positional vertigo, and to provide a basis for the treatment of benign paroxysmal positional vertigo in the posterior semicircular canal. Methods 188 patients with posterior semicircular canal BPPV received treatment in the outpatient and inpatient department of our hospital from August 2014 to November 2015 were randomly divided into two groups, respectively. The improved Epley manipulation treatment, improved Epley manipulation + induced posture training therapy. Results the total effective rate of the modified Epley manipulation + induced body training group after 3 months was 95.74% (90 cases), higher than the modified Epley group, the total effective rate was 86.17% (81 cases), and the difference was statistically significant (P0.05); the modified Epley manipulation + induced posture training method relapsed. The rate and recurrence rate of more than 3 times were lower than that of the improved Epley group (P0.05). Conclusion the improved Epley manipulation plus body position training method is good for the treatment of benign paroxysmal positional vertigo in the posterior semicircular canal.
【作者单位】：安徽省铜陵市立医院神经内科;上海市长海医院神经内科;安徽医科大学附属省立医院神经内科;
【分类号】：R764.3

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