手法复位与药物治疗良性阵发性位置性眩晕的疗效对比

Efficacy of repositioning maneuver vs drug treatment for benign paroxysmal positional vertigo

摘要:

目的 观察比较手法复位与药物治疗良性阵发性位置性眩晕（BPPV）的疗效。方法 选取2012年8月至2014年10月在解放军总医院海南分院确诊的BPPV患者，共106例，其中男49例，女57例，平均年龄63.14（32～86）岁。将106例BPPV患者随机分为两组，每组53人。A组用手法复位，B组用药物治疗，分别于治疗后1周和3个月随访，比较两组的疗效。结果 A组总有效率91.57%，高于B组的76.23%，差异有统计学意义（P＜0.05）。结论 手法复位治疗BPPV疗效优于药物治疗。

Abstract:

Objective To compare the efficacy of repositioning maneuver as well as drug treatment for the treatment of benign paroxysmal positional vertigo (BPPV). Methods A total of 106 patients diagnosed as BPPV who admitted in Hainan Branch of Chinese PLA General Hospital from August 2012 to October 2014 were recruited in this study. They were randomly divided into 2 age- and gender-matched groups, with 53 patients in each group. The patients of group A were treated with repositioning maneuver, while those from group B with drug therapy. All patients were followed up at 1 week and 3 months after treatment. The efficacies of the 2 treatments were compared between the 2 groups. Results Group A got a total effective rate of 91.57%, significantly higher than group B (76.23%, P＜0.05). Conclusion Repositioning maneuver is superior to drug therapy for BPPV.