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一例BPPV演变为PPPD的诊疗分析并文献复习
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Abstract:
目的：一例BPPV演变为PPPD的病例，诊断、治疗及预后分析。方法：通过对一例临床诊断为BPPV的病例，经过3个月演变为PPPD，给予前庭康复训练、认知行为疗法及抗焦虑药物、促进前庭功能代偿类药物治疗，随访该患者的后续转归，了解该疾病的临床诊疗思路。结果：诊断为BPPV的患者，经过3个月演变为PPPD，给予个体化治疗后，症状缓解。结论：BPPV是目前最常见的发作性前庭综合症，在接诊类似患者前最好完善相关心理–精神评估，尤其是对于反复复位效果不佳或病情反复者，治疗中充分体现“生物–心理–社会医学”模式，加深我们对这类疾病的认识和理解。
Objective: To analyze the diagnosis, treatment and prognosis of a case of BPPV evolving into PPPD. Methods: A case of BPPV was clinically diagnosed and developed into PPPD after 3 months, and vestibular rehabilitation training, cognitive behavioral therapy, anti-anxiety drugs, and vestibular function compensatory drugs were given to the patient. The follow-up outcome of the patient was followed up to understand the clinical diagnosis and treatment of the disease. Results: The patient was diagnosed with BPPV and developed into PPPD after 3 months. After individualized treatment, the symptoms were relieved. Conclusion: BPPV is the most common paroxysmal vestibular syndrome at present, and it is best to improve the relevant psycho-psychiatric assessment before receiving similar patients, especially for those with poor effect of repeated reduction or recurrent disease, and fully reflect the “bio-psycho-social medicine” model in treatment to deepen our knowledge and understanding of this disease.
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