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[Therapeutic effects of psychological intervention combined with manual reduction on benign paroxysmal positional vertigo in the elderly].

Objective: To explore the best treatment for elderly patients with benign paroxysmal positional vertigo (BPPV). Method: Sixty-eight BPPV patients aged 60-85 years were randomly divided into two groups. The control group was treated by simple manipulation. The study group was treated by manual reduction combined with psychological intervention. The curative effect was compared. Result: The cure rates of the control group and the study group were 44.4% and 43.8% respectively, with no significant difference ( P >0.05); the effective rates were 52.78% and 87.50% respectively, with significant difference ( P <0.05). The recurrence rates of control group and study group were 8.3% and 3.1% after 2 weeks of treatment, respectively, with no significant difference ( P >0.05). The recurrence rates at 3 months were 5.6% and 0 respectively, with no significant difference ( P >0.05). The difference of SAS and SDS between the two groups after treatment was statistically significant ( P <0.05). There was no significant difference in the residual symptoms between the two groups at the first follow-up ( P >0.05), and at 1 week and 4 weeks ( P <0.05). The residual symptoms of the patients after reoperation were relieved compared with those of the control group. The DHI scores of the study group between 60-70 years old and 71-85 years old group for the first time, after 1 week and 4 weeks were statistically significant ( P <0.05), and the residual symptoms in the 60-70 years group were reduced compare to the 71-85-year-old group. Conclusion: Elderly people with BPPV are susceptible to anxiety and depression. Manipulation combined with psychological intervention can promote the curative effect well, but personalized treatment plan should be developed.

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