文章摘要
聂海岭，李朝武，黎逢光，方煌，严钢莉，毛高峰，成勇，魏海燕.Brandt-Daroff习服训练联合黛力新治疗良性阵发性 位置性眩晕管石复位后残余头晕的疗效[J].神经损伤功能重建,2018,13(8):387-391
Brandt-Daroff习服训练联合黛力新治疗良性阵发性 位置性眩晕管石复位后残余头晕的疗效
Effect of Brandt-Daroff Exercise Combined with Deanxit on Residual Dizziness afterSuccessful Canalith Repositioning Maneuvers in Patients with Benign Paroxysmal PositionalVertigo
  
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中文关键词: 良性阵发性位置性眩晕  管石复位术  残余头晕  Brandt-Daroff习服训练  眩晕残障量表  前庭症状 指数  医院焦虑抑郁量表
英文关键词: benign paroxysmal positional vertigo  canalith repositioning maneuvers  residual dizziness  Brandt-Daroff exercise  dizziness handicap inventory  vestibular symptom index  hospital anxiety and depression scale
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聂海岭，李朝武，黎逢光，方煌，严钢莉，毛高峰，成勇，魏海燕 解放军第 161 医院 神经内科 
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中文摘要:
      目的：观察Brandt-daroff习服训练联合黛力新治疗良性阵发性位置性眩晕（BPPV）管石复位后残余头 晕的疗效。方法：BPPV成功管石复位后发生残余头晕的患者96例随机分为4组：对照组（常规内科治疗）， 训练组（Brandt-Daroff 习服训练），药物组（黛力新治疗），联合组（Brandt-Daroff 习服训练联合黛力新治疗）， 每组24例。治疗前后采用医院焦虑抑郁量表（HADS）、眩晕残障量表（DHI）、前庭症状指数（VSI）对患者进 行评分比较。结果：治疗前各组HADS、VSI、DHI评分差异无统计学意义（P＞0.05）。治疗7、14 d后，3组 HADS、VSI、DHI评分均低于对照组（均P＜0.05）。治疗7、14 d后，联合组HADS、VSI、DHI评分均低于训练 组及药物组（均P＜0.05）。治疗7 d后，药物组HADS评分低于训练组（P＜0.05）；治疗14 d后，训练组DHI评 分低于药物组（P＜0.05）。结论：Brandt-Daroff习服训练、黛力新均能减轻BPPV成功管石复位后残余头晕 症状，联合治疗较单一治疗更有效。
英文摘要:
      To observe the effect of Brandt-Daroff exercise combined with Deanxit on residual dizziness (RD) after successful canalith repositioning maneuvers (CRP) in patients with benign paroxysmal positional vertigo (BPPV). Methods: Ninety-six patients with RD after successful CRP were divided into four groups at random with 24 patients per group: the control group (treated with routine medical therapy), the exercise group (treated with Brandt-Daroff exercise), the medication group (treated with Deanxit), and the combination group (treated with Brandt-Daroff exercise combined with Deanxit). Before and after treatment, hospital anxiety and depression scale (HADS), dizziness handicap inventory (DHI), and vestibular symptom index (VSI) were evaluated. Results: No significant difference existed in scores of HADS, VSI, and DHI between each group before treatment (P>0.05). Seven days and 14 days after treatment, HADS, VSI, and DHI scores in the control group were higher than those in the other 3 groups (P<0.05). In the combination group, the above scores were lower than those in the exercise group and medication group (P<0.05). Seven days after treatment, HADS score in the medication group was lower than that in the exercise group (P<0.05); 14 days after treatment, DHI score in the exercise group was lower than that in the medication group (P<0.05). Conclusion: Both Brandt-Daroff exercise and Deanxit could effectively ameliorate RD symptoms in BPPV patients with RD after successful CRP, and the treatment was more effective than single method treatment.
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