良性阵发性位置性眩晕患者耳石复位与个体化前庭康复训练联合干预效果分析

韩燕; 董柏涛; 杨猛; 孙甜甜

doi:10.3969/j.issn.1672-4933.2026.03.006

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良性阵发性位置性眩晕患者耳石复位与个体化前庭康复训练联合干预效果分析

临床研究 | 更新时间：2026-05-25

- 良性阵发性位置性眩晕患者耳石复位与个体化前庭康复训练联合干预效果分析
- Analysis of the Effect of Individualized Vestibular Rehabilitation Training Combined with Otolith Repositioning Device Intervention on Patients with Benign Paroxysmal Positional Vertigo
- 中国听力语言康复科学杂志 2026年24卷第3期页码：245-248
- 作者机构：
  
  北京市仁和医院耳鼻咽喉外科北京 102600
- 作者简介：
  
  韩燕本科主治医师研究方向：耳鼻咽喉疾病，E-mail：hanhan_yyy8556@163.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2026.03.006
  中图分类号： R764.3
- 收稿：2025-07-13，
  
  纸质出版：2026-05-15
- 稿件说明：
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韩燕,董柏涛,杨猛等.良性阵发性位置性眩晕患者耳石复位与个体化前庭康复训练联合干预效果分析[J].中国听力语言康复科学杂志,2026,24(03):245-248.

HAN Yan,DONG Bo-tao,YANG Meng,et al.Analysis of the Effect of Individualized Vestibular Rehabilitation Training Combined with Otolith Repositioning Device Intervention on Patients with Benign Paroxysmal Positional Vertigo[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(03):245-248.
韩燕,董柏涛,杨猛等.良性阵发性位置性眩晕患者耳石复位与个体化前庭康复训练联合干预效果分析[J].中国听力语言康复科学杂志,2026,24(03):245-248. DOI： 10.3969/j.issn.1672-4933.2026.03.006.

HAN Yan,DONG Bo-tao,YANG Meng,et al.Analysis of the Effect of Individualized Vestibular Rehabilitation Training Combined with Otolith Repositioning Device Intervention on Patients with Benign Paroxysmal Positional Vertigo[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(03):245-248. DOI： 10.3969/j.issn.1672-4933.2026.03.006.

摘要

目的

探讨个体化前庭康复训练联合耳石复位仪在良性阵发性位置性眩晕（benign paroxysmal positional vertigo， BPPV）患者治疗中的临床效果。

方法

选取2021年1月至2023年6月在我院就诊的BPPV患者76例，按耳石复位后是否存在残余症状分为残余症状组（38例）和无症状组（38例）。残余症状组给予个体化前庭康复训练，无症状组仅进行常规随访。比较两组患者复位前耳石类型分布、复位有效率、残余症状改善情况及6个月内复发率。

结果

两组患者耳石类型分布相似，后半规管BPPV占主要部分［残余症状组25例（65.79%），无症状组24例（63.16%）］；两组复位有效率相似［残余症状组92.11%（35/38），无症状组94.74%（36/38）］；残余症状组经前庭康复训练2周后，轻度头晕/不稳感显著改善视觉模拟评分（visual analogue scale，VAS）评分：训练前4.87±0.92分vs训练后2.15±0.65分，

0.05］；随访6个月，残余症状组复发率为13.16%（5/38），无症状组为15.79%（6/38），差异无统计学意义（

0.05）。

结论

前庭康复训练对BPPV患者复位后残余症状有明显改善作用，但对降低疾病复发率的效果尚不明确，需进一步研究。

Abstract

Objective

To investigate the clinical efficacy of individualized vestibular rehabilitation training combined with otolith repositioning device in the treatment of benign paroxysmal positional vertigo (BPPV).

Methods

76 patients with BPPV treated at to our hospital from January 2021 to June 2023 were selected and divided into two groups based on the presence of residual symptoms after otolith repositioning: the residual symptoms group (38 cases) and the asymptomatic group (38 cases). The residual symptoms group received individualized vestibular rehabilitation training

while the asymptomatic group underwent only routine follow-up. The distribution of otolith types before repositioning

the efficacy of repositioning

improvement of residual symptoms

and recurrence rates within 6 months were compared between the two groups.

Results

The distribution of otolith types was similar between the two groups

with posterior semicircular canal BPPV accounting for the majority 25 cases (65.79%) in the residual symptoms group

and 24 cases (63.16%) in the asymptomatic group. Repositioning efficacy was comparable between the two groups 92.11% (35/38) in the residual symptoms group

94.74% (36/38) in the asymptomatic group. After 2 weeks of vestibular rehabilitation training

mild dizziness/unsteadiness in the residual symptoms group was significantly improved VAS score: 4.87±0.92 pre-training vs. 2.15±0.65 post-training

0.05. At the 6-month follow-up

the recurrence rate was 13.16% (5/38) in the residual symptoms group and 15.79% (6/38) in the asymptomatic group

with no statistically significant difference (

0.05).

Conclusion

Vestibular rehabilitation training has a significant ameliorative effect on residual symptoms following otolith repositioning in BPPV patients; however

its efficacy in reducing disease recurrence rate remains unclear and requires further investigation.

关键词

Keywords

references

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