前庭康复训练对良性阵发性位置性眩晕患者耳石复位后残余症状的影响①
吴海英,梁晓萍,庞永艳,冯艳玲
(广东医科大学附属第二医院神经内科,广东 湛江 524000)
摘要 目的:探讨前庭康复训练在良性阵发性位置性眩晕(BPPV)患者中的应用效果。 方法:选取 98 例 BPPV 患者,将其随机分为两组,每组 49 例。 对照组采取常规药物治疗,观察组在对照组基础上采取前庭康复训练,两组均连续治疗 6 周。 比较两组治疗效果、残余症状持续时间、症状严重程度和生活质量。 结果:观察组治疗总有效率 95.92%高于对照组 83.67%(P<0.05);治疗后,观察组残余症状持续时间短于对照组,前庭症状指数(VSI)得分低于对照组,以上均有统计学差异(P<0.05);眩晕残障程度评定表(DHI)中功能、情感、躯体得分均低于对照组(P<0.05)。 结论:BPPV 患者接受前庭康复训练干预,能够缓解残余症状,缩短残余症状持续时间,提高临床疗效,从而提升患者生活质量。
关键词: 良性阵发性位置性眩晕;前庭康复训练;耳石复位;残余症状;生活质量
中图分类号:R764.3 文献标识码:A 文章编号:1008-2409(2022)03-0069-04
Effects of vestibular rehabilitation training on residual symptoms after otolith reduction in patients with benign paroxysmal positional vertigo ①
WU Haiying, LIANG Xiaoping, PANG Yongyan, FENG Yanling.(Dept. of Neurology, the 2 nd Affiliated Hospital of Guangdong Medical University Zhanjiang 524000, China)
Abstract Objective: To investigate the application effect of vestibular rehabilitation training on patients
with benign paroxysmal positional vertigo(BPPV). Methods: A total of 98 BPPV patients were randomized into two groups, each with 49 cases. The control group were given routine drug treatment, while the observation group received vestibular rehabilitation training on the basis of the control group. And the treatment for both groups lasted for 6 consecutive weeks. Then, the treatment effect, duration of residual symptoms, symptom severity and quality of life were compared between the patients in two groups. Results: The total effective rate in the observation group was 95.92%, higher than 83.67% in the control group, which was of statistical difference(P<0.05); after treatment, the duration of residual symptoms in the observation group was shorter than that of the control group, vestibular symptom index(VSI) score was lower than that of the control group, which were of statistical significance(P < 0. 05);the Function, affection and body scores in the Dizziness Handicap Inventory(DHI)were lower than those of the control group, there were statistical differences between both group(P<0.05). Conclusion: For BPPV patients, vestibular rehabilitation training intervention can relieve residual symptoms, shorten the duration of residual symptoms, improve the clinical efficacy, and improve the quality of life of patients.
Keywords: benign paroxysmal positional vertigo ( BPPV); vestibular rehabilitation training; otolith reduction; residual symptoms; quality of life
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