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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 被引量:9

Clinical Study of Manipulative Reduction Combined with Outpatient Drug in the Treatment of Benign Paroxysmal Positional Vertigo
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摘要 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。 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.
作者 肖彬
出处 《中国医药导刊》 2014年第2期235-236,238,共3页 Chinese Journal of Medicinal Guide
关键词 手法复位 药物 耳石症眩晕 研究 Manual reduction Drugs Benign paroxysmal positional vertigo Research
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