前庭康复治疗慢性头晕的疗效对照观察

关键词：前庭康复治疗  头晕  眩晕

Keywords:vestibular rehabilitation therapy  dizziness  vertigo

摘要：

      摘要　 目的：对前庭康复治疗慢性头晕的疗效进行评估，为前庭康复治疗在慢性头晕康复中的应用提供临床依据。 方法：将60例慢性头晕患者随机分为试验组（n=30）和对照组（n=30）。对照组采用甲磺酸倍他司汀片和眩晕宁片治疗；试验组在对照组的基础上进行前庭康复治疗。应用头晕视觉模拟评分、头晕残障量表（DHI）、活动平衡信心量表（ABC）、改良的Barthel指数（MBI）、医院焦虑抑郁量表（HADS）和匹兹堡睡眠质量指数量表（PSQI），分别在治疗前、治疗4周后和3个月随访时进行评估，并观察不良反应。 结果：①治疗前，两组一般资料及头晕相关评估指标比较差异均无显著性意义（P>0.05）。②治疗4周后、3个月随访时头晕视觉模拟评分、DHI评分、HADS评分试验组均较对照组降低，差异均有显著性意义（P<0.05）。③治疗4周后的ABC评分、MBI评分试验组均较对照组提高，差异均有显著性意义（P<0.05）。两组均无不良反应。 结论：前庭康复治疗可以更好地改善慢性头晕患者的头晕症状与平衡功能、日常生活能力，以及抑郁焦虑等不良情绪状态，安全有效。

Abstract:

      Abstract Objective： To evaluate the efficacy of vestibular rehabilitation therapy（VRT） on patients with chronic dizziness， and to provide a clinical evidence for the application of VRT in chronic dizziness rehabilitation. Method： Sixty patients with chronic dizziness were randomly divided into experimental group （n=30） and control group （n=30）. The control group was treated with betahistine mesylate tablet and Xuanyunning tablet，while the experimental group received vestibular rehabilitation therapy on the basis of the control group. The assessment measures included the visual analogue scale of dizziness， the dizziness handicap inventory （DHI）， the activities-specific balance confidence scale （ABC）， the modified Barthel index （MBI）， the hospital anxiety and depression scale （HADS） and the Pittsburgh sleep quality index （PSQI）. Patients were evaluated before treatment， after 4 weeks of treatment， and at 3 months of follow-up. Result：Before treatment， there was no significant difference in general information and dizziness related evaluation indexes between the two groups （P>0.05）. After 4 weeks of treatment and at the 3-month follow-up, the experimental group showed significantly lower Visual analogue scale of dizziness， DHI score and HADS score（P<0.05）. After 4 weeks of treatment， the experimental group showed significantly higher ABC score and MBI score than those of control group（P<0.05）. There were no adverse reactions in either group. Conclusion： VRT is an effective and safe intervention for improving dizziness symptoms and balance function， daily living ability， psychological well-being in patients with chronic dizziness. It holds significant clinical value and warrants further application in rehabilitation settings.