摘要
目的:探讨前庭康复训练联合银杏叶提取物对耳石症及其复发率的影响。方法:选取2023年2月至2024年2月南阳南石医院收治的62例耳石症患者,采取随机数字表法,分为对照组、观察组,对照组患者31例接受传统手法复位治疗,观察组患者31例在对照组手法复位治疗基础上,联合前庭康复训练及银杏叶提取物治疗,比较各组数据:临床疗效、不良反应、症状缓解时间(眩晕、眼球震颤等)、治疗前后前庭症状指数(vestibular symptom index,VSI)及眩晕障碍量表(dizziness handicap inventory,DHI)、匹兹堡睡眠指数(Pittsburgh sleep quality index,PSQI)变化,治疗后随访6个月,观察两组疾病复发率情况。结果:观察组治疗总有效率高于对照组,症状缓解时间(眩晕、眼球震颤等)均短于对照组,差异有统计学意义(P<0.05);两组不良反应率均较低,差异无统计学意义(P>0.05);治疗后,各组患者VSI及DHI及PSQI评分均改善,观察组各项评分均优于对照组患者,差异有统计学意义(P<0.05);观察组患者治疗后6个月疾病复发率低于对照组,差异有统计学意义(P<0.05)。结论:前庭康复训练联合银杏叶提取物治疗耳石症效果良好,可较好改善患者病症,促进患者恢复,患者复发率低,治疗安全。
Objective:To explore the effects of vestibular rehabilitation training combined with Ginkgo biloba extract on benign paroxysmal positional vertigo(BPPV)and its recurrence rate.Methods:62 patients with BPPV admitted to Nanyang Nanshi Hospital from February 2023 to February 2024 were included and randomly divided into a control group and an observation group using a random number table method.The control group(n=31)received traditional manual repositioning treatment,while the observation group(n=31)received vestibular rehabilitation training and Ginkgo biloba extract treatment in addition to the manual repositioning treatment in the control group.Data from each group were compared,including clinical efficacy,adverse reactions,time to symptom relief(vertigo,nystagmus,etc.),as well as changes in vestibular symptom index(VSI),dizziness handicap inventory(DHI)and Pittsburgh sleep quality index(PSQI)before and after treatment.Patients were followed up for 6 months after treatment to observe the recurrence rate of the disease in both groups.Results:The total effective rate in the observation group was higher than that in the control group,and the time to symptom relief(vertigo,nystagmus,etc.)was shorter in the observation group,with statistically significant differences(P<0.05).The incidence of adverse reactions was low in both groups,with no statistically significant difference(P>0.05).After treatment,the VSI,DHI and PSQI scores of patients in both groups improved,with the observation group showing better scores than the control group,and the differences were statistically significant(P<0.05).The recurrence rate of the disease in the observation group was lower than that in the control group 6 months after treatment,with a statistically significant difference(P<0.05).Conclusion:Combination of vestibular rehabilitation training and Ginkgo biloba extract demonstrates good efficacy in treating benign paroxysmal positional vertigo.It can effectively improve the patients'symptoms,facilitate their recovery,result in a low recurrence rate of the disease,and ensure treatment safety.
作者
王季
王桂安
王凯
WANG Ji;WANG Gui'an;WANG Kai(Department of Otorhinolaryngology,Nanyang Nanshi Hospital,Nanyang 473000,China)
出处
《黑龙江医药科学》
2025年第9期78-81,共4页
Heilongjiang Medicine and Pharmacy
基金
河南省医学科技攻关计划(联合共建)项目,编号:LHGJ20210547。
关键词
耳石症
前庭康复训练
银杏叶提取物
临床疗效
不良反应
复发率
benign paroxysmal positional vertigo
vestibular rehabilitation training
Ginkgo biloba extract
clinical efficacy
adverse reactions
recurrence rate
