【摘要】 目的：研究分析前庭康复训练联合手法复位治疗良性阵发性位置性眩晕(BPPV)的改善作用及对脑血流速度的影响。方法：选取徐州医科大学附属第二医院2021年10月—2023年10月收治的102例BPPV患者，按照随机抽签法将其分为观察组(n=51)和对照组(n=51)。两组均采取甲磺酸倍他司汀治疗，对照组予以手法复位治疗，观察组在对照组的基础上联合前庭康复训练治疗。比较两组的临床疗效、前庭症状指数(VSI)、Berg平衡量表(BBS)评分及脑血流速度水平。结果：观察组的治疗总有效率(94.12%)、治疗后BBS评分[(40.98±5.17)分]均高于对照组[80.39%、(36.95±5.03)分]，VSI评分[(25.33±6.51)分]低于对照组[(28.98±7.38)分]，差异均有统计学意义(Plt;0.05)；观察组治疗后的右椎动脉[(30.51±4.70)cm/s]、左椎动脉[(36.97±6.02)cm/s]、基底动脉血流速度[(41.42±6.01)cm/s]均高于对照组[(27.91±4.10)、(33.57±5.30)、(37.04±5.42)cm/s]，差异均有统计学意义(Plt;0.05)。结论：BPPV采取前庭康复训练联合手法复位能够有效提升临床疗效，改善眩晕症状和脑血流速度，促使患者的平衡能力得以显著提升。

    【关键词】 前庭康复训练 手法复位 良性阵发性位置性眩晕 脑血流速度

    Effect of Vestibular Rehabilitation Training and Manual Reduction Treatment on Benign Paroxysmal Positional Vertigo/DONG Shanshan， XIAO Lijie. //Medical Innovation of China， 2024， 21(31)： -167

    [Abstract] Objective： To study and analyze the improvement effect of vestibular rehabilitation training combined with manual reduction treatment on benign paroxysmal positional vertigo (BPPV) and its impact on cerebral blood flow velocity. Method： A total of 102 BPPV patients admitted to the Second Affiliated Hospital of Xuzhou Medical University from October 2021 to October 2023 were selected and divided into observation group (n=51) and control group (n=51) according to random drawing method. Both groups were treated with Betahistine Mesylate ......