生物反馈-认知行为联合前庭康复训练治疗慢性主观性头晕疗效的研究

发布时间：2018-08-04 20:03

【摘要】：目的探讨生物反馈-认知行为联合前庭康复训练治疗慢性主观性头晕的疗效。方法将40例慢性主观性头晕患者采用随机数字表法随机分为研究组(盐酸度洛西汀肠溶胶囊联合生物反馈-认知行为治疗及前庭康复训练)20例和对照组(盐酸度洛西汀肠溶胶囊)20例。生物反馈-认知行为治疗:采用BF06智能生物反馈治疗仪,通过检测患者的肌电活动以及皮温等反应患者放松情况。认知行为治疗由专业心理医师进行治疗。采用眩晕残障程度评定量表(DHI)、焦虑抑郁量表(HADS)、简明健康调查问卷(SF-36)评估健康相关生活质量的8个方面及头晕程度对生活质量的影响。对入组患者随访6周,在治疗前以及第2、4、6周末给予HADS、DHI、SF-36量表测评。结果治疗第2周末,研究组与对照组比较DHI、H A DS、SF-36量表评分差异均无统计学意义(P0.05)。在治疗第4、6周末,对照组与研究组比较DHI、HADS、SF-36量表评分差异均有统计学意义(P0.05),患者的症状改善更加明显。结论生物反馈-认知行为治疗联合前庭康复训练治疗慢性主观性头晕,能显著改善患者的头晕症状,以及患者焦虑、抑郁情绪,提高生活质量。
[Abstract]:Objective to investigate the effect of biofeedback-cognitive behavior combined with vestibular rehabilitation training in the treatment of chronic subjective dizziness. Methods 40 patients with chronic subjective dizziness were randomly divided into study group (doxetine hydrochloride enteric-coated capsule combined biofeedback cognitive behavior therapy and vestibular rehabilitation training) and control group (hydrochloric acid). Loxetine enteric capsule (n = 20). Biofeedback-cognitive behavioral therapy: BF06 intelligent biofeedback therapy instrument was used to detect the relaxation of patients with myoelectric activity and skin temperature. Cognitive behavior therapy is treated by a professional psychologist. Eight aspects of health-related quality of life were evaluated by (DHI), anxiety and Depression scale (SF-36) and the influence of dizziness on quality of life (QOL). The patients were followed up for 6 weeks. Before treatment and at the end of the 2nd week, the patients were evaluated with HADSX DHISF-36 scale. Results at the end of the second week of treatment, there was no significant difference in the scores of DHIH A DSN SF-36 between the study group and the control group (P0.05). At the end of the 4th week of treatment, there were significant differences in the scores of DHIHADS+ SF-36 between the control group and the study group (P0.05), and the improvement of symptoms was more obvious in the control group than in the study group. Conclusion the treatment of chronic subjective dizziness with biofeedback and cognitive behavior therapy combined with vestibular rehabilitation training can significantly improve the dizziness symptoms, anxiety and depression of the patients, and improve the quality of life.
【作者单位】：空军总医院全军临床航空医学中心;
【分类号】：R741

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