改良Epley法聯(lián)合誘發(fā)體位訓(xùn)練法在后半規(guī)管良性陣發(fā)性位置性眩暈的療效比較
本文選題:后半規(guī)管良性陣發(fā)性位置性眩暈 + 改良Epley法。 參考:《中華臨床醫(yī)師雜志(電子版)》2016年16期
【摘要】:目的探討改良手法復(fù)位與誘發(fā)體位訓(xùn)練法對(duì)良性發(fā)作性位置眩暈的療效,為后半規(guī)管良性陣發(fā)性位置性眩暈的治療提供依據(jù)。方法選取2014年8月至2015年11月本院門診及住院部接受治療的后半規(guī)管BPPV患者共188例進(jìn)行隨機(jī)分組,分別給予改良Epley手法治療、改良Epley手法+誘發(fā)體位訓(xùn)練法治療。結(jié)果治療3個(gè)月后改良Epley手法+誘發(fā)體位訓(xùn)練法組總有效率95.74%(90例),高于改良Epley組的總有效率86.17%(81例),兩組差異具有統(tǒng)計(jì)學(xué)意義(P0.05);改良Epley手法+誘發(fā)體位訓(xùn)練法復(fù)發(fā)率及復(fù)發(fā)≥3次發(fā)生率均比改良Epley組低(P0.05)。結(jié)論改良Epley手法+誘發(fā)體位訓(xùn)練法治療后半規(guī)管良性陣發(fā)性位置性眩暈效果良好。
[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.
【作者單位】: 安徽省銅陵市立醫(yī)院神經(jīng)內(nèi)科;上海市長(zhǎng)海醫(yī)院神經(jīng)內(nèi)科;安徽醫(yī)科大學(xué)附屬省立醫(yī)院神經(jīng)內(nèi)科;
【分類號(hào)】:R764.3
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