Clinical efficacy of manual reduction combined with gastrodin and rehabilitation in treatment of benign paroxysmal positional vertigo in the elderly
Received:November 09, 2018  
View Full Text  View/Add Comment  Download reader
DOI:10.11915/j.issn.1671-5403.2019.02.025
Key words:aged; benign paroxysmal positional vertigo; manipulative reduction; transcranial ultrasound Doppler; nystagmus
Author NameAffiliationE-mail
LI Zhe Department of Otolaryngology, lizhe730324@aliyun.com 
SUN Meng Department of Rehabilitation Medicine, Jinqiu Hospital of Liaoning Province, Shenyang 110016, China  
LI Qi-Zhu Department of Otolaryngology,  
LIANG Da-Shuai Department of Otolaryngology,  
MENG Da-Wei Department of Otolaryngology,  
BAO Ji-Min Department of Otolaryngology,  
Hits: 166
Download times: 173
Abstract:
      Objective To investigate the clinical efficacy of manual reduction combined with gastrodin and rehabilitation in the treatment of benign paroxysmal positional vertigo (BPPV) in the elderly patients. Methods A total of 90 BPPV elderly patients diagnosed in the Otolaryngology, Neurology and Geriatrics Departments of our hospital from September 2016 to February 2018 were prospectively recruited in this study. They were randomly divided into group A and group B, with 45 cases in each group. The patients of group A were treated with gastrodin and forced posture, while those from group B were given gastrodin treatment combined with manual reduction and rehabilitation. The clinical efficacy, vertigo score, and maximum blood flow velocity of basilar artery (BA), left vertebral artery (LVA) and right vertebral artery (RVA) were compared between the 2 groups. SPSS statistics 15.0 was used to perform the statistical analysis. Chi-square test or Student′s t test was employed for comparison between two groups. Results The total effective rate was 53.33%(24/45) in group A, and 91.11%(41/45) in group B, and the rate was significantly higher in group B than group A (P<0.05). The score of vertigo disability scale was obviously decreased in both groups after treatment, and statistical difference was seen between them[(17.3±3.3) vs (24.2±4.1), P<0.05]. The treatment improved the maximum blood flow velocities of BA, LVA and RVA in the both group (P<0.05), and the changes in group B were more significant than those in group A (P<0.05). Conclusion Manual reduction combined with gastrodin and rehabilitation can obviously improve the clinical efficacy and clinical symptoms in treatment of elderly BPPV.
Close