CAJ | 학술논문

目的观察手法复位联合药物治疗对老年人良性阵发性位置性眩晕患者的治疗价值.方法选取176例老年良性阵发性位置性眩晕患者随机分为观察组和对照组(各88例),两组患者均给予药物基础治疗与强迫体位,观察组在此基础上行手法复位,连续治疗21 d,观察两组患者治疗后临床疗效、不良反应.结果观察组第2周治愈率为50.0％ (44/88)、有效率70.5％(62/88),第3周治愈率77.3％(68/88)、有效率93.2％(82/88)均高于对照组的11.4％ (10/88)、47.7％(42/88)和29.5％(26/88)、86.4％(76/88),差异有统计学意义(x2值分别为37.32、73.32、37.32、53.43,均P＜0.05).两组治疗后均出现头晕伴恶心呕吐、情感障碍、走路不稳,但差异无统计学意义(x2=3.25,均P＞0.05),中转手术率观察组低于对照组(x2=45.43,P＜0.05).结论手法复位联合药物治疗对老年人良性阵发性位置性眩晕有着很好的临床疗效,安全性高.
목적 관찰수법복위연합약물치료대노년인량성진발성위치성현훈환자적치료개치.방법 선취176례노년량성진발성위치성현훈환자수궤분위관찰조화대조조(각88례),량조환자균급여약물기출치료여강박체위,관찰조재차기출상행수법복위,련속치료21 d,관찰량조환자치료후림상료효、불량반응.결과 관찰조제2주치유솔위50.0％ (44/88)、유효솔70.5％(62/88),제3주치유솔77.3％(68/88)、유효솔93.2％(82/88)균고우대조조적11.4％ (10/88)、47.7％(42/88)화29.5％(26/88)、86.4％(76/88),차이유통계학의의(x2치분별위37.32、73.32、37.32、53.43,균P＜0.05).량조치료후균출현두훈반악심구토、정감장애、주로불은,단차이무통계학의의(x2=3.25,균P＞0.05),중전수술솔관찰조저우대조조(x2=45.43,P＜0.05).결론 수법복위연합약물치료대노년인량성진발성위치성현훈유착흔호적림상료효,안전성고.
Objective To investigate the value of otolith-repositioning maneuver combined with medical treatment on benign paroxysmal positional vertigo in the elderly patients.Methods 176 elderly people who suffered from benign paroxysmal positional vertigo were randomly divided into observation group and control group (n=88,each).All patients were treated with basal medicine treatment and compulsive position for 21 days,and patients in the observation group were treated with otolith repositioning maneuver added on the basis.The clinical efficacy and adverse reactions were observed and compared between the two groups after treatment.Results The curative rate and effective rate were higher in observation group than in control group at 2,3 weeks after treatment [50.0％ (44/88) vs.11.4％ (10/88),70.5％ (62/88) vs.47.7％ (42/88),77.3％ (68/88) vs.29.5％ (26/88),93.2％ (82/88) vs.86.4％ (76/88),x2 =37.32,73.32,37.32,53.43,respectively,all P＜0.05].Dizziness combined with nausea and vomiting,and walking instability were both found in the two groups,which had no statistical difference (x2 =3.25,P＞0.05).Patients in observation group developed arrhythmia and Tumarkin otolith crisis after treatment.The transfer rate of surgery was lower in observation group than in control group (x2 =45.43,P＜0.01).Conclusions Otolith-repositioning maneuver combined with medical treatment have good clinical effect and safety on benign paroxysmal positional vertigo in the elderly.