中华耳科学杂志2024，Vol.22Issue(4)：529-535,7.DOI:10.3969/j.issn.1672-2922.2024.04.001
前庭康复训练联合改良Barbecue手法复位治疗水平半规管良性阵发性位置性眩晕
Vestibular Rehabilitation Training Combined with Modified Barbecue Repositioning Maneuver for Horizontal Semicircular Canal Benign Paroxysmal Positional Vertigo
摘要
Abstract
Objective To report outcomes of treatment of horizontal semicircular canal benign paroxysmal posi-tional vertigo(HC-BPPV)by vestibular rehabilitation training combined with modified Barbecue repositioning maneu-ver.Methods Patients with HC-BPPV admitted to the Department of Otorhinolaryngology,Handan Central Hospital,from December 2018 to December 2020(n=96)were randomly selected to receive modified Barbecue maneuver treat-ment(the control group)or additional vestibular rehabilitation training(the study group).The Dizziness Handicap Index(DHI),resistance index(RI),end diastolic velocity(EDV)and peak systolic velocity(PSV)before and 1 week after treatment,as well as residual symptoms and recurrence within 6 months were compared between the two groups.Re-sults The overall rate effectiveness was 93.75%for the study group,compared to 77.08%in the control group(χ2=5.352,P=0.021).At 1 week and 1 month after treatment,the rates of light-headedness,drowsiness and discomfort,neck stiffness and unsteady gait were all lower in the study group than in the control group(P<0.05 and P<0.01).At 1 month after treatment,DHI-P,DHI-E,DHI-F scores in both groups were lower than before treatment(P<0.01).The scores at 1 week and 1 month after treatment were lower in the study group than in the control group(P<0.01).At 1 month after treatment,RI was lower,while EDV and PSV levels were higher,than before treatment in both groups(P<0.01).At 1 week and 1 month after treatment,RI in the study group was lower than that in the control group,while EDV and PSV were higher(P<0.05 and P<0.01).At 1,3 and 6 months after successful reset,the rate of recurrence in the study group was lower than that in the control group(P<0.05).Conclusion Vestibular rehabilitation training combined with modi-fied Barbecue maneuver can improve vertebral artery hemodynamics in patients with HC-BPPV and reduce residual symptoms after successful reset,improving recurrence and therapeutic effects.关键词
前庭康复训练/改良Barbecue手法/水平半规管良性阵发性位置性眩晕Key words
vestibular rehabilitation training/modified Barbecue maneuver/benign paroxysmal positional verti-go with horizontal hemicircle引用本文复制引用
连蕾,韩海平,冯志星..前庭康复训练联合改良Barbecue手法复位治疗水平半规管良性阵发性位置性眩晕[J].中华耳科学杂志,2024,22(4):529-535,7.基金项目
河北省医学科学研究课题(20211144) （20211144）
