良性阵发性位置性眩晕手法复位护理配合及效果评价.docVIP

精品论文 参考文献 良性阵发性位置性眩晕手法复位护理配合及效果评价 四川省江油市九〇三医院五官科 621700 　　摘要 目的：分析探讨良性阵发性位置性眩晕(benign paroxysmal positional vertigo，BPPV)手法复位护理配合的临床效果。 方法：将我院自2015年5月~2016年5月收治的78例BPPV患者作为研究对象，进行随机分组治疗，各39例，对照组行体位限制法配合药物治疗，对照组行手法复位治疗，观察两组患者的临床疗效。结果：治疗1周后，实验组的患者有效率（87.2%）明显优于对照组对比差异有统计学意义，P＜0.05；治疗两周后，实验组临床总有效率达97.4%，优于对照组，对比差异有统计学意义，P＜0.05。结论：手法复位护理配合治疗BPPV患者，疗效好，操作简单，值得推广应用。 　　关键词 良性阵发性位置性眩晕；手法复位；护理配合 　　The Nursing cooperation and effect evaluation of manual reduction for benign paroxysmal positional vertigo 　　[Abstract] Objective: To investigate the benign paroxysmal positional vertigo (benign paroxysmal positional vertigo, BPPV) clinical effect of reduction nursing manipulation. Methods: 78 cases of BPPV patients in our hospital from May 2015 ~2016 May as the object of study, were randomly divided into the treatment, 39 cases, control group with drug treatment method for postural restriction, the control group underwent manipulative reduction in treatment, observe the clinical efficacy of the two groups. Results: after 1 weeks of treatment, the experimental group had significantly better efficiency (87.2%) In the control group the difference was statistically significant, P lt; 0.05; after two weeks of treatment, the experimental group clinical total effective rate was 97.4%, better than the control group, there was statistically significant difference, P lt; 0.05. conclusion: manual reduction and nursing in the treatment of BPPV has good curative effect, simple operation, worthy of popularization and application. 　　[Keywords] benign paroxysmal positional vertigo; manipulative reduction; nursing cooperation 　　良性阵发性位置性眩晕(benign paroxysmal positional vertigo，BPPV)是临床上常见的周围性前庭疾病，占全部眩晕类型四分之一左右，通常是指头部运动到某一位置时出现自发性短暂性眩晕，多发于中老年患者[1]。其发病机制尚存在疑问，有学说认为是体位改变诱发耳石脱落并随内淋巴液流动刺激耳石器造成眩晕[2]。临床上因良性阵发性位置性眩晕相关表现与其他疾病类似，发病初期难以引重视，容易延误诊疗[3]。本研究旨在探讨良性阵发性位置性眩晕手术复位护理配合的临床疗效，以下是详细报道。 　　1 资料与方法 　　1.1 一般资料 　　此次研究和分析均为我院自2015年5月~2016年5月收治的78例BPPV患者，随机分成实验组和对照组，各39例，其中，对照组女性31例，男性8例，年龄46~73岁，平均年龄56.9plusmn;