CAJ | 학술논문

　　目的：评价药物辅助Epley手法复位治疗良性阵发性位置性眩晕(BPPV)的疗效。方法：BPPV患者128例随机分为对照组和观察组，各64例；对照组仅予以Epley手法复位，观察组给予Epley手法复位及甲磺酸倍他司汀片和盐酸氟桂利嗪胶囊口服；治疗2周，比较2组复位成功率，复位后不适症状群的发生率及症状消失时间。结果：对照组与观察组复位成功率分别为93.75%(60/64)和93.18%(59/64)，差异无统计学差异；对照组与观察组复位后分别有29例和28例出现头昏等复位后不适症状，发生率差异无统计学意义。观察组复位后不适的恢复时间为(4.96±2.06)d，短于对照组的(6.79±2.69)d(<0.05)。结论：Epley手法复位治疗BPPV有效，配合药物治疗可缩短复位后不适的持续时间。
　　목적：평개약물보조Epley수법복위치료량성진발성위치성현훈(BPPV)적료효。방법：BPPV환자128례수궤분위대조조화관찰조，각64례；대조조부여이Epley수법복위，관찰조급여Epley수법복위급갑광산배타사정편화염산불계리진효낭구복；치료2주，비교2조복위성공솔，복위후불괄증상군적발생솔급증상소실시간。결과：대조조여관찰조복위성공솔분별위93.75%(60/64)화93.18%(59/64)，차이무통계학차이；대조조여관찰조복위후분별유29례화28례출현두혼등복위후불괄증상，발생솔차이무통계학의의。관찰조복위후불괄적회복시간위(4.96±2.06)d，단우대조조적(6.79±2.69)d(<0.05)。결론：Epley수법복위치료BPPV유효，배합약물치료가축단복위후불괄적지속시간。
Objective:To evaluate the efficacy of combination therapy of medication and Epley maneuver on patients with benign paroxysmal positional vertigo (BPPV). Methods:One hundred and twenty eight BPPV patients were randomly divided into placebo group (n=64) and treatment group (n=64). Patients in placebo group were given Epley maneuver and placebo, while those in treatment group were given medicine (flunarizine and betahistine) plus the maneuver for two weeks. After two weeks’treatment, the success rate and post-reposition complications were compared between two groups. Results:Compared to that in the placebo group, the success rate in the treatment group showed no statistic difference, 93.75%vs. 93.18%. In addtion, 29 cases in the control group and 28 cases in the treatment group showed post-reposition complications (nausea, vomiting, and residual vertigo) respectively. However, the attack duration was significantly reduced by medical treatment, (4.96±2.06) d . (6.79±2.69) d, of placebo group. Conclusion:Epley maneuver is effective in treating BPPV,and combination therapy of medication and Epley maneuver can reduce the attack duration of post-reposition complications.