Objective:To investigate the effect of vestibular rehabilitation exercise combined with manual reduction in the treatment of benign paroxysmal positional vertigo（BPPV）. Method:A total of 186 patients with benign paroxysmal positional vertigo were selected and randomly divided into experimental group and control group . The control group was treated with manual reduction, while the experimental group was treated with manual reduction combined with vestibular rehabilitation exercises. Patients with posterior semicircular canal BPPV carried out Brandt-Daroff exercises, while patients with horizontal semicircular canal BPPV carried out Cawthorne-Cooksey exercises and position restriction. To analyze the clinical curative effect, DHI score, residual dizziness and recurrence of the two groups. Result:There was no significant difference in total efficiency rate and DHI score between the two groups at the first diagnosis（P>0.05）. After 1 week, 2 weeks and 1 month of follow-up, the total efficiency rate of the experimental group were 90.3%, 91.4% and 93.5% respectively, which were significantly higher than those of the control group（P<0.05）. Synchronously, the scores of DHI in experimental group were respectively 14.33±5.71, 12.25±4.98 and 9.45±3.70, which were significantly lower than the control group（P<0.05）. For the experimental group, in the first diagnosis, 1 week, 2 weeks and 1 month after follow-up, residual dizziness patients were 29 cases, 13 cases, 8 cases and 0 cases. The mean duration of residual dizziness was （5.86±4.71） days, which was significantly lower than that in the control group（P<0.05）. One month after follow-up, the recurrence of patients in the experimental group were 5 cases, while the control group were 11 cases, significant difference between the two groups（χ²=4.704, P=0.030）. Conclusion:Manual reduction combined with vestibular rehabilitation exercise can significantly improve the therapeutic effect of BPPV, ameliorate the residual dizziness symptoms and reduce the recurrence rate, meanwhile improve the balance function and quality life of patients.
目的：观察手法复位联合前庭康复练习治疗良性阵发性位置性眩晕（BPPV）的疗效。 方法：选取BPPV患者186例，随机分为实验组和对照组，对照组单纯给予手法复位治疗，实验组给予手法复位联合前庭康复练习，后半规管BPPV患者进行Brandt-Daroff练习，水平半规管BPPV患者进行Cawthorne-Cooksey练习和体位限制，比较分析2组的临床疗效、DHI评分、残余头晕和复发的情况。 结果：首诊手法复位时，2组患者的总有效率、DHI评分比较差异无统计学意义（P>0.05）。复位后1周、2周和1个月，实验组总有效率分别是90.3%、91.4%和93.5%，均明显高于对照组，差异有统计学意义（P<0.05）；实验组的DHI评分分别为14.33±5.71、12.25±4.98、9.45±3.70，均显著低于对照组（22.25±7.12、20.35±7.01、18.08±6.83），差异有统计学意义（P<0.05）。实验组在首诊复位、复位后1周、复位后2周和复位1个月残余头晕分别为29例、13例、8例和0例，平均病程（5.86±4.71）d，均显著低于对照组（P<0.05）。复位后1个月随访，实验组复发患者5例，而对照组11例，2组差异有统计学意义（χ²=4.704，P=0.030）。 结论：手法复位联合前庭康复练习可明显提高BPPV治疗效果、减轻复位后残余头晕症状和减少复发率，改善患者的平衡功能和生活质量。.
Keywords: manual reduction; vertigo; vestibular rehabilitation exercises.
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