银杏叶提取物结合倍他司汀对耳石复位后良性阵发性位置性眩晕患者眩晕残障程度、复发率的影响被引量：5

Effect of Ginkgo Biloba Extract Combined with Betahistine on the Degree of Dizziness Disability and Recurrence Rate in Patients with Benign Paroxysmal Positional Vertigo After Otolith Reduction

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摘要目的探究银杏叶提取物结合倍他司汀对耳石复位后良性阵发性位置性眩晕(BPPV)患者眩晕残障程度、复发率的影响.方法选择2022年5月—2023年5月黄岛区第三人民医院收治的60例耳石复位后BPPV患者为研究对象,按随机数字表法将其分为对照组和观察组,每组30例.两组患者均给予手法复位治疗,对照组同时给予患者倍司他汀治疗,观察组在对照组基础上加用银杏叶片治疗.对比两组患者的眩晕残障程度、前庭功能、脑动脉血流速度和总复发率.结果治疗后,观察组总复发率低于对照组,差异有统计学意义(P<0.05);治疗后,观察组前庭症状指数评分、头晕残障问卷评分均低于对照组,组间差异有统计学意义(P<0.05);治疗后,观察组脑动脉血流速度快于对照组,差异有统计学意义(P<0.05).结论银杏叶提取物结合倍司他汀治疗耳石复位后BPPV有助于改善患者的眩晕残障程度,可强化患者的前庭功能,调节脑动脉血流速度,降低总复发率,值得推广. Objective To investigate the effect of Ginkgo biloba extract combined with Betahistine on the degree of dizziness disability and recurrence rate in patients with benign paroxysmal positional vertigo(BPPV)after otolith reduction.Methods 60 patients with BPPV after otolith reduction admitted to the Third People's Hospital of Huangdao District from May 2022 to May 2023 were selected as the research subjects,divided into a control group and an observation group using a random number table method,with 30 cases in each group.Both groups of patients were treated with manual reduction therapy,while the control group was also treated with Betahistine,the observation group was treated with Ginkgo biloba leaves in addition to the control group.Compare the degree of dizziness disability,vestibular function,cerebral artery blood flow velocity,and overall recurrence rate between two groups of patients.Results After treatment,the total recurrence rate of the observation group was lower than that of the control group,the difference between groups was statistically significant(P<0.05);After treatment,The Vestibular Symptom Index score and Dizziness Handicap Inventory score in the observation group were lower than those in the control group,the differences between groups were statistically significant(P<0.05);After treatment,the cerebral artery blood flow velocity in the observation group was faster than that in the control group,the difference between groups was statistically significant(P<0.05).Conclusion The combination of Ginkgo biloba extract and Betahistine in the treatment of BPPV after otolith reduction can help improve the degree of dizziness in patients,strengthen their balance and vestibular functions,regulate cerebral arterial blood flow velocity,and reduce the recurrence rate.It is worth promoting.

作者庄怀鹏 ZHUANG Huaipeng(Department of Internal Medicine,Huangdao District Third People's Hospital,Qingdao Shandong,266409,China)

机构地区黄岛区第三人民医院内一科

出处《反射疗法与康复医学》 2024年第5期29-31,35,共4页 Reflexology And Rehabilitation Medicine

关键词耳石复位良性阵发性位置性眩晕银杏叶提取物倍他司汀眩晕残障程度复发率 Otolith reduction Benign paroxysmal positional vertigo Ginkgo biloba extract Betahistine Degree of dizziness disability Recurrence rate

分类号 R764.43 [医药卫生—耳鼻咽喉科]

作者简介庄怀鹏(1980-),男,安徽宿州人,本科,主治医师,研究方向:神经内科疾病诊疗。