中国听力语言康复科学杂志2026，Vol.24Issue(3)：245-248,4.DOI:10.3969/j.issn.1672-4933.2026.03.006
良性阵发性位置性眩晕患者耳石复位与个体化前庭康复训练联合干预效果分析
Analysis of the Effect of Individualized Vestibular Rehabilitation Training Combined with Otolith Repositioning Device Intervention on Patients with Benign Paroxysmal Positional Vertigo
韩燕 1董柏涛 1杨猛 1孙甜甜1
作者信息
- 1. 北京市仁和医院耳鼻咽喉外科 北京 102600
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy of individualized vestibular rehabilitation training combined with otolith repositioning device in the treatment of benign paroxysmal positional vertigo(BPPV).Methods 76 patients with BPPV treated at to our hospital from January 2021 to June 2023 were selected and divided into two groups based on the presence of residual symptoms after otolith repositioning:the residual symptoms group(38 cases)and the asymptomatic group(38 cases).The residual symptoms group received individualized vestibular rehabilitation training,while the asymptomatic group underwent only routine follow-up.The distribution of otolith types before repositioning,the efficacy of repositioning,improvement of residual symptoms,and recurrence rates within 6 months were compared between the two groups.Results The distribution of otolith types was similar between the two groups,with posterior semicircular canal BPPV accounting for the majority 25 cases(65.79%)in the residual symptoms group,and 24 cases(63.16%)in the asymptomatic group.Repositioning efficacy was comparable between the two groups 92.11%(35/38)in the residual symptoms group,94.74%(36/38)in the asymptomatic group.After 2 weeks of vestibular rehabilitation training,mild dizziness/unsteadiness in the residual symptoms group was significantly improved VAS score:4.87±0.92 pre-training vs.2.15±0.65 post-training,P<0.05.At the 6-month follow-up,the recurrence rate was 13.16%(5/38)in the residual symptoms group and 15.79%(6/38)in the asymptomatic group,with no statistically significant difference(P>0.05).Conclusion Vestibular rehabilitation training has a significant ameliorative effect on residual symptoms following otolith repositioning in BPPV patients;however,its efficacy in reducing disease recurrence rate remains unclear and requires further investigation.关键词
良性阵发性位置性眩晕/耳石复位/残余症状/前庭康复训练/复发率Key words
Benign paroxysmal positional vertigo/Otolith repositioning/Residual symptoms/Vestibular rehabilitation training/Recurrence rate分类
医药卫生引用本文复制引用
韩燕,董柏涛,杨猛,孙甜甜..良性阵发性位置性眩晕患者耳石复位与个体化前庭康复训练联合干预效果分析[J].中国听力语言康复科学杂志,2026,24(3):245-248,4.
