门诊手法复位结合药物治疗良性阵发性位置性眩晕的临床研究

摘要

Objective:To study the manual reduction combined with outpatient drug treatment in treating benign paroxysmal positional pertigop.Methods:Our hospital June 2012 June 2013 92 cases of otolith disorders outpatient vertigo were randomly divided into two groups,the control group of 46 patients using a simple reduction,the observation group of 46 patients in the control group on the basis of joint drug treatment,observed in all patients immediately,7d after 4 weeks after treatment,all patients were followed up for 1~3 months for recurrence were compared.Results:The immediate treatment 7d observation group and control group,the total effective rate was 93.48%,93.48%,97.83%,95.65%;difference was not statistically significant (P>0.05).Observed after 4 weeks of treatment group,the total effective rate was 95.65%in the control group was 82.61%,the difference was significant (P<0.05).Observation group were followed up 3 months,the recurrence rate was 2.17%in the control group 23.91%in the observation group recurrence rate was significantly lower than the control group,the difference was significant (P<0.05).Conclusion:Manual reduction is the treatment of disorders vertigo otolith safe and effective method,combined with drug therapy can reduce the recurrence rate and improve the therapeutic effect.%目的：研究门诊手法复位结合药物治疗良性阵发性位置性眩晕(耳石症)眩晕的疗效与安全性。方法：选择我院2012年6月~2013年6月门诊92例耳石症眩晕患者,随机分为两组,对照组46例患者采用单纯手法复位,观察组46例患者在对照组基础上联合药物治疗,观察所有患者治疗即刻、7d后、4周后疗效,所有患者均随访1~3个月,对复发情况进行比较。结果：治疗即刻、治疗7d观察组与对照组总有效率分别为93.48%、93.48%,97.83%、95.65%；两组比较差异无显著性(P>0.05)。治疗4周后观察组总有效率为95.65%,对照组为82.61%,两组比较差异具有显著性(P<0.05)。观察组随访3个月,复发率为2.17%,对照组23.91%,观察组复发率明显低于对照组,两组比较差异具有显著性(P<0.05)。结论：手法复位是治疗耳石症眩晕安全有效的方法,结合药物治疗可降低复发率,提高治疗效果。