Comparison Of Simple Repositioning Treatment And Medication Therapeutic Alliance In Management Of Horizontal Semicircular Canal Benign Paroxysm Positional Vertigo

Objective:To compare the efficacy and recurrence of simple repositioning treatment and medication therapeutic alliance in treatment of horizontal semicircular benign paroxysm positional vertigo. And put horizontal semicircular canal benign paroxysm positional vertigo into two part, one is cupulolithiasis type the other is canalithiasis type to compare.Methods:One hundred and twenty-four patients with horizontal semicircular benign paroxysm positional vertigo who were diagnosed in General Hospital of Air Force Vertigo Clinical Service by Roll-maneuver test were included in this study. There are sixty-two patients are cupulolithiasis type and sixty-two patients are canalithiasis type.To take random confrontation method grouping the different type to carry out the clinical research. Thirty-two cases in canalithiasis type repositioning group (group A1) and Thirty-two cases in cupulolithiasis type repositioning group (group A2) were treated with simple repositioning.The other thirty cases in canalithiasis type medication alliance treated group (group B1) and thirty cases in cupulolithiasis type repositioning group (group B2) received simple repositioning treatment plus Alprostadil. Cinepazide and Betahistine Tablets. The curative effects of both groups were analyzed at 7 d and 28 d after treatment, and recurrence was observed after three months.Results:① After 7 days treatment, recovery rate 62.5% in A1 and recovery rate 73.3% in B1 group. The recovery rate is higher in B1 group,there is no statistic different in total effective rate (P>0.05).② There are eight patients apper type of lesion changes in Al Group and one patient appear type of lesion changes in B1 Group, it has statistic different (P<0.05).The average number of repositioning times in type changes patient were higher than none changes patient. it has statistic different (P<0.05).③After 28days treatment, recovery rate 100%, total effective power 100% in group A1. recovery rate 100%. total effective power 100% in group B 1. There is no statistic different in total effective rate (P>0.05).④In the following three months, two patients (6.25%) recurrence in group A and two patients (6.67%) recurrence in group B.it has no statistic different (P>0.05).⑤After 7 d treatment, the recovery rate of group B2 was 56.7% with the effective power of 40.0% and useless rate of 3.3%. The recovery rate of group A2 was 46.9% with the effective power of 50.0% and useless rate of 3.1%. The recovery rate was higher in group B2 than group A2 with no statistic difference (P> 0.05). and also no statistic difference was found in total effective rate (P> 0.05).⑥After 28 d treatment, the recovery rate of group B2 was 96.67% with the effective power of 3.3% and useless rate of 0. And the recovery rate of group A2 was 78.12% with the effective power of 21.88% and useless rate of 0.⑦The recovery rate was higher in B2 group and it showed significant difference (P< 0.05). In the following three months, the recurrence of group B2 was 10.0%(n=3) and 31.25% in group A2 (n=10) which showed statistic difference (P<0.05).Conclusion:The repositioning treatment is the prefer method to cure horizontal semicircular canal canalithiasis benign paroxysm positional vertigo. reposition plus medication has no elevate with recovery rate and recurrence rate. But it can reduce the type of lesion changes and shortening cure times.The repositioning treatment is a preferred method to cure horizontal semicircular canal cupulolithiasis benign paroxysm positional vertigo, medication therapeutic alliance can elevate the recovery rate, shorten cure time and decrease recurrence rate.