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
参考文献:
[1] 李亚楠.经过手法复位的良性阵发性位置性眩晕再发的原因分析[J].中国医学创新,2021,18(17):34-38.
[2] 张雪,杨洪斌,任丽丽,等.难治性良性阵发性位置性眩晕临床诊治与评估[J].中华耳科学杂志,2020,18(6):1082-1085.
[3] 王伟,杜秋明,杨丽萍,等.轻型创伤性脑损伤并发良性阵发性位置性眩晕的临床分析[J].中国中西医结合急救杂志,2020,27(3):321-323.
[4] 石娅,孙利兵,张伟,等.良性阵发性位置性眩晕复位后的问题及应对策略[J].国际耳鼻咽喉头颈外科杂志,2019,43(4):204-207.
[5] 张宝霞,赵斐斐.Brandt-Daroff 习服训练联合耳石复位仪对良性阵发性位置性眩晕的应用效果[J].临床耳鼻咽喉头颈外科杂志,2021,35(7):598-601.
[6] 中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会.良性阵发性位置性眩晕诊断和治疗指南(2017) [J]. 中华耳鼻咽喉头颈外科杂志,2017,52(3):173-177.
[7] 陆慧,柏雅瑾.前庭康复对良性阵发性位置性眩晕患者走路不稳症状的治疗分析[J]. 临床内科杂志,2021,38(4):244-246.
[8] 王崇,王建明,杨威,等.眩晕残障程度评定量表在良性阵发性位置性眩晕患者中的应用[J].中华全科医师杂志,2016,15(7):550-552.
[9] KIM H J,KIM J S. Author response:questionnaire-based diagnosis of benign paroxysmal positional vertigo [ J ].Neurology,2020,95(19):889.
[10] 鞠骏,李进让,邹世桢.不同病程水平半规管良性阵发性位置性眩晕患者手法复位疗效分析[J].听力学及言语疾病杂志,2019,27(2):213-215.
[11] 徐磊,李晓炎,邱培森,等.104 例良性阵发性位置性眩晕诊治体会[J].中国实验诊断学,2019,23(3):494-496.
[12] 罗孟丽.手法复位治疗老年良性阵发性位置性眩晕患者的效果及安全性[J].听力学及言语疾病杂志,2021,29(5):565-567.
[13] 杨琪,朱文娟.前庭康复训练改善良性阵发性位置性眩晕复位后残余症状的疗效分析[J].中国中西医结合耳鼻咽喉科杂志,2019,27(5):340-343.
[14] 李哲,孙萌,李奇洙,等.手法复位联合天麻素及康复治疗对老年良性阵发性位置性眩晕患者的临床疗效[J].中华老年多器官疾病杂志,2019,18(2):132-135.
[15] 李洪淮.Brandt-Daroff 康复练习对半规管良性阵发性位置性眩晕患者的疗效[J].中国听力语言康复科学杂志,2021,19(2):88-91.
[16] 钟慧球,罗红强.综合护理干预联合体位训练对良性阵发性位置性眩晕患者残余症状的影响[J].中国医学创新,2020,17(31):104-107.
[17] 李玉娟,刘鹏,杨丹.SRM-IV 前庭功能诊疗系统改良坐-卧位试验对良性阵发性位置眩晕的指导意义[J].神经损伤与功能重建,2019,14(11):590-592.
[18] 张亮.Epley 手法复位联合甲磺酸倍他司汀治疗良性位置性眩晕患者的回顾性研究[J].中国药物与临床,2020,20(13):2227-2229.
[19] 张鹏飞,吕敬雷,田宇轩,等.后循环缺血性孤立性眩晕与前庭周围性眩晕的临床特征研究[J].北京医学,2020,42(9):828-831.
[20] 邹团明,陈俊明,周晓娓,等.手法复位联合前庭康复练习治疗良性阵发性位置性眩晕的疗效观察[J].临床耳鼻咽喉头颈外科杂志,2019,33(11):1044-1048.
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