PDF(Pubmed)
Abstract：
To assess Quality of life improvement in Videonystagmography guided Epley\'s Manoeuvre in posterior canal benign paroxysmal positional vertigo. The design of present study is cross-sectional analytical study. The study is conducted in the Department of Otorhinolaryngology, Sri Aurobindo Medical College and Post Graduate Institute, Indore in association with Sri Aurobindo Institute of speech and hearing, Indore. Current study done to assess the effectiveness of canalolith repositioning procedures (Epley\'s maneuver) with and without drug therapy in posterior canal benign paroxsymal positional vertigo and to assess the patients based on Dizziness Handicap Inventory. All Patients who come to ENT OPD at Sri Aurobindo Medical College and Post Graduate Institute, Indore in the specified duration and according to the inclusion criteria were chosen in the study. Majority of the patients were in the age group of 18-58 years with the median age of 32 and subjective symptomatic relief on Epley\'s manoeuvre and DHI on day 15, 46 out of 60 subjects reported symptomatic relief with a percentage of 76.6%. This group of 46 subjects with symptomatic relief was labeled as resolved group. The age range in resolved group was between 18 and 58 years. Remaining 14 subjects, labelled as relapsed group were prescribed beta-histine and repeat Epley\'s maneuver was performed to assess the effectiveness of adjunct therapy. We conclude that a single Videonystagmography guided Epley\'s maneuver is an excellent tool for effective rehabilitation of majority of posterior canal BPPV alone and combined with adjunct betahistine therapy can even cure refractory cases providing them with better quality of life.
摘要：
评价视频眼震描记术引导下Epley手法对后管良性阵发性位置性眩晕患者生活质量的改善。本研究的设计是横断面分析研究。这项研究是在耳鼻咽喉科进行的，SriAurobindo医学院和研究生研究所，Indore与SriAurobindo言语和听力研究所合作，印多尔.目前的研究旨在评估在后管良性阵发性位置性眩晕中使用和不使用药物治疗的耳石重新定位程序（Epley's手法）的有效性，并根据头晕障碍量表评估患者。所有来SriAurobindo医学院和研究生学院ENTOPD的患者，在研究中选择指定持续时间内并根据纳入标准的印度。大多数患者的年龄为18-58岁，中位年龄为32岁，在Epley的操作和DHI的15天主观症状缓解，60名受试者中有46名报告症状缓解，百分比为76.6％。该组46名具有症状缓解的受试者被标记为缓解组。已解决组的年龄范围为18至58岁。剩下14个科目，标记为复发组的患者被处方为β-histine,并重复进行Epley操作以评估辅助治疗的有效性.我们得出的结论是，单个视频眼震描记术引导的Epley动作是有效康复大多数后管BPPV的绝佳工具，单独和辅助倍他司汀治疗甚至可以治愈难治性病例，为他们提供更好的生活质量。
