前庭康复网络干预对老年慢性头晕患者的效果:一项英国社区医疗机构开展的随机对照试验

发布时间：2018-03-10 01:10

本文选题：前庭　切入点：社区医疗机构　出处：《中国全科医学》2017年28期 　论文类型：期刊论文

【摘要】：目的前庭康复治疗对由前庭功能障碍所致的眩晕来说比较有效,但迄今为止这种康复治疗的开展还较少。本研究旨在探讨前庭康复网络干预项目在社区老年慢性头晕患者中的效果。方法本项为单中心、单盲的随机对照试验,在英格兰南部54家社区医疗机构开展。研究对象为来自这些机构的年龄≥50岁、患有眩晕并头部运动眩晕加重的患者。患者被随机分为干预组和普通治疗组。干预组给予前庭康复网络干预[平衡训练(患者通过网络学习前庭康复训练及认知行为管理策略),详细内容见https://balance.lifeguidehealth.org],普通治疗组给予普通全科治疗。在干预前、干预3个月及6个月后,采用简明眩晕症状量表(VSS-SF)对患者的眩晕程度进行调查。干预效果的主要评估指标为干预6个月后的VSS-SF分数。结果共纳入296例患者,其中66%为女性,中位年龄为67岁。250例(84%)患者在干预3个月后完成了VSS-SF测评,230例(78%)患者在干预6个月后完成了VSS-SF测评。干预3个月后,干预组VSS-SF分数比普通治疗组低2.75分[95%CI(1.39,4.12),P0.001];干预组眩晕残障程度分数比普通治疗组低6.15分[95%CI(2.81,9.49),P0.001]。干预6个月后,干预组VSS-SF分数比普通治疗组低2.26分[95%CI(0.39,4.12),P=0.020];干预组眩晕残障程度分数比普通治疗组低5.58分[95%CI(1.19,10.0),P=0.010]。结论在没有临床支持的情况下,前庭康复网络干预可使社区老年慢性头晕患者眩晕及眩晕残障程度有所降低。这种康复治疗可在社区医疗机构中广泛应用。
[Abstract]:Objective vestibular rehabilitation is effective for vertigo caused by vestibular dysfunction. But so far the rehabilitation therapy has been carried out less. The purpose of this study was to investigate the effect of vestibular rehabilitation network intervention program in elderly patients with chronic dizziness in community. Methods this study was a single-center, single-blind randomized controlled trial. Conducted in 54 community health care institutions in southern England. The study looked at people over the age of 50 years from these institutions. Patients with vertigo and aggravated head movement vertigo. Patients were randomly divided into intervention group and general treatment group. The intervention group was given vestibular rehabilitation network intervention [balance training (patients learn vestibular rehabilitation training and cognition through the network). Behavior management strategy (see https://balance.lifeguidehealth.org for details). The general treatment group was given general general treatment. Before intervention, After 3 and 6 months of intervention, a brief vertigo symptom scale (VSS-SF) was used to investigate the degree of vertigo in the patients. The main index of the intervention effect was the VSS-SF score of the patients after 6 months of intervention. Results 66% of them were women. The median age was 67 years old. 250 patients completed the VSS-SF test after 3 months of intervention. The patients completed the VSS-SF test after 6 months of intervention. After 3 months of intervention, the patients completed the VSS-SF test. The VSS-SF score of the intervention group was 2.75 points lower than that of the general treatment group [95CII 1.39 卤4.12 P0.001], and the score of vertigo and disability in the intervention group was 6.15 points lower than that in the general treatment group. The VSS-SF score of the intervention group was 2.26 points lower than that of the general treatment group [95CII 0.39 卤4.12 P0.020], and the score of the degree of vertigo disability in the intervention group was 5.58 points lower than that in the general treatment group. Conclusion without clinical support, the score of VSS-SF in the intervention group is 5.58 points lower than that in the general treatment group. The intervention of vestibular rehabilitation network can reduce the degree of vertigo and vertigo disability in the elderly patients with chronic dizziness in community, and this kind of rehabilitation treatment can be widely used in community medical institutions.
【分类号】：R49;R764.3

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