CAJ | 학술논문

目的：探讨眩晕障碍量表（dizziness handicap inventory ，DHI）对良性阵发性位置性眩晕（BPPV ）患者健康相关生活质量（quality of life ，QOL）评估的意义。方法采用汉化的英文版DHI分别对120例施行管石复位法（canalith repositioning procedure ，CRP）治疗的BPPV患者（治疗组）治疗前及治疗后3个月和60名健康体检者（对照组）进行评估，比较两组患者功能、情感、躯体三个方面的得分及总分。结果治疗组治疗前功能、情感、躯体评分分别为22．60±6．54、18．50±8．28、17．90±5．0分，总分为59．00±14．32分，对照组功能、情感、躯体分别为1．35±1．74、1．00±1．01、1．37±1．86分，总分为3．72±3．46分，治疗前治疗组D H I各项目得分均高于对照组（均P＜0．05）。治疗后3个月治疗组功能、情感、躯体评分分别为1．10±1．42、1．50±1．70、1．45±1．46分，总分为4．05±3．66分，均较治疗前分值降低（均为 P＜0．05），与对照组比较差异无统计学意义（均为 P＞0．05）。结论CRP治疗BPPV有效，汉化DHI量表能够应用于BPPV患者QOL的评估。
목적：탐토현훈장애량표（dizziness handicap inventory ，DHI）대량성진발성위치성현훈（BPPV ）환자건강상관생활질량（quality of life ，QOL）평고적의의。방법채용한화적영문판DHI분별대120례시행관석복위법（canalith repositioning procedure ，CRP）치료적BPPV환자（치료조）치료전급치료후3개월화60명건강체검자（대조조）진행평고，비교량조환자공능、정감、구체삼개방면적득분급총분。결과치료조치료전공능、정감、구체평분분별위22．60±6．54、18．50±8．28、17．90±5．0분，총분위59．00±14．32분，대조조공능、정감、구체분별위1．35±1．74、1．00±1．01、1．37±1．86분，총분위3．72±3．46분，치료전치료조D H I각항목득분균고우대조조（균P＜0．05）。치료후3개월치료조공능、정감、구체평분분별위1．10±1．42、1．50±1．70、1．45±1．46분，총분위4．05±3．66분，균교치료전분치강저（균위 P＜0．05），여대조조비교차이무통계학의의（균위 P＞0．05）。결론CRP치료BPPV유효，한화DHI량표능구응용우BPPV환자QOL적평고。
Objective This paper attempts to explore the application of dizziness handicap inventory (DHI) in evaluation of health -related quality of life (QOL ) changes of patients with benign paroxysmal positional vertigo (BPPV) before and after the treatment with canalith repositioning procedure (CRP) .Methods The DHI was em-ployed to investigate and evaluate the dizziness handicap of 120 patients with BPPV before and after 3 months of CRP treatment (treatment group) and 60 healthy controls (control group) ,while the DHI scoring results were com-pared .Results As indicated by DHI evaluation ,the scoring of each DHI items of patients with BPPV before treatment was higher than that of control group ,treatment group before treatment :functional score 22 .60 ± 6 .54 ,emotional score 18 .50 ± 8 .28 ,physical score 17 .90 ± 5 .05 ,total composite score 59 .00 ± 14 .32 .For the control group:functional score 1 .35 ± 1 .74 ,emotional score 1 .00 ± 1 .01 ,physical score 1 .37 ± 1 .86 ,total composite score 3 .72 ± 3 .46 ,with the differ-ence statistically significant (P<0 .05) .The DHI scoring of treatment group of patients with BPPV after 3 months of CRP treatment was lower than that before the treatment (treatment group after 3 months CRP treatment :functional score 1 .10 ± 1 .42 ,emotional score 1 .50 ± 1 .70 ,physical score 1 .45 ± 1 .46 ,total composite score 4 .05 ± 3 .66) ,and the difference was statistically significant (P<0 .05) .There was no statistically significant difference comparing to the control group (P>0 .05) .Conclusion CRP is effective to treat BPPV .The DHI is available for the evaluation of QOL of BPPV patients .